HomeMy WebLinkAbout1573 158693
D~claration ot, ~icil~ ~nd Citts~nship -
TO THE STATE AND COUNTY TAX ASS~SSOR,
S1. LUCIE COUNTY, FLORIDA: .
This is my decla~ation of Oomicile and Citizenship i~ the Stat~ of Florida that 1 am filinq this day in ~ooordana~ a~d
in oonformiry with Chaptsr 222, Ssction 222.17, Florida~ Ststuhs.
1 wss formerly e legal residsnt of - ~t~~e atY- , Hex Jeraav
(City) (Sta»)
and 1 rosidad at 2901 ltl~?titeio l~ertne .~W~~ ~~v~ ~y
- (Stre~t ~nd Numbsr)
ro snd em and have bsan a bona fFde resident of the Sfate of Horide sinoe ~ day af
L~~ ~ , 19~Z-, and t reside at - 171T Scntb Ltb 3traet '
(Street a~d Number)
FORT NERCE, SAINT lUC1E COUNTY, RORIDA
and this ststement i: to be taken as my declarotion of citizensh+p, actual le9s! residenoe and domidle in the State of Horida. ~
(insert here any pertinent facts, auch as sale of pronperty or business, or rolinquishmsnt of employment ,
at former domidle, remova! of femlly ro nsw domicile, purchase of hane, ~tt.)
Entering Bd?iard Charlee Hiera in 3chaal
RE~aOF~°D,.. -
F~~EO A"
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' S'f.1.UCiE vER1~F1E~
: RECORO ~ Q~
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~ ~ ~ : 28
'61 5~g3
b ER t'01TRAS T
~~aK CiRCUIT COUR _ -
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f RIRZHER C'ERTIFY that I wil! oosnply with all othsr requiremsnts of s le~al ~eside~t of this Sta». j
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° I FURTHER CERTIFY that I have no intention to retum to my former domicjte, and 1 intenc! to ramain in FORT }
t
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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pNa~) Charles H. Hie ~ Jr.
(Addressy
' ~ Sv~rorn to artd.subsuibsd before me this 1~ day of - ~u~~ 19_b.~..
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~K. CIRCII~T~COURT . Notary Public
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gY ' D.C. My Commission expiras
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