HomeMy WebLinkAbout1459 D~cla~atlo~ o~ Don~lafl~ and Gltis~nship ~
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TO THE STATE AND GOUNTY TAX A?:iSESSOR,
ST. LUCIE COUNTY, FLORIOA: ,
This ii my declarotion of pomicile and Citizenship in the State of Ftorida that i am fiiin~ thit d~y in aooordano~ ar~d -
in oonformiy with Chepte~r 2Z2, Sattion 22Z.17, Horida Statutes.
1 was forme~ly a legal rosident of C icero ~ Ne~r York
- (Ci~Y) ~ (~a»)
and i rosldsd at 592~ Lake Shore Road
(Stteet and Numbe~) -
to and am and heve been a bona fide reiident of the State of Florids sinos _______~fi.~1~. ' day of
July . 19 67 , and I reside at 2709: ~ Sortth 15th S traet
(Street and Number)
FORT tIQCE, SAINT LUCIE COUNTY, RORlDA
and this statement is b be taken as my decla~ation of citizenship, actual leyal rosidenoe and domidle in the Stste of Horida.
qnaert here any pertinent facis, such as sale of prapery or business, or relinqutshment of employenent
~ at f~ormer domicile, removal of family to new domic;le, purchase of home, etc.)
Purchase of new home at 2709 South ISth
Street, _Fort Pierce, Florida.
FlLED ANO RECDADEO
ST. ~UCIE COUNIY~ FI:A.
• RECORO V~RIFIEO
158611
; '6T JUl 3! AM 9: 1 S . _
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ROGER POITRAS ~
~ CLfiRK CiRCUtT C4URT
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t . I FURTHER G~RTIFY that 1 will oomply with all other requiremeMs of a le~ai resident of thls State.
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~ 1 FURTHER CERTIFY that 1 have no intention ta retum to my former domiqle, and 1 infiend to remain in FORT
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~ PIERCE, SAINT UKtE COUNTY, FL~RIDA, perr?~anently. ~
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" - me) ($errick)
` 2709 South 15th 3 treet
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:
Fort Pierce, Florida
i (Address) _
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f Swom to and subsuibed before me this 31st day Jul !~tl JQ -
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ROaER ~OITRAS `
` qERiC CIRCUR COURT Notary Public s ~ % ~ ~ ~=L.~ :1 y ~ ~
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7~ G'~0 ~?~.""'r~~;~:~?~
aY D.C. My Gommiu'wn expi~es -
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(TO ~ ~OO~iYMd ~1 ~CM'~ N1~ Of~A~i fII~ W~II~ CMfI[ C~qi~ COY~f~ iAd ~CiN Ml~l T~i[ AfMNO~,~~
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