HomeMy WebLinkAbout1793 Declaration ot Domicil• and Citizenship 158849
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. WCIE GOUNTY, FlORIOA: '
This is my declaration of Oomicile and Citizenship ln the State of Flo~ida that 1 am filinq this day in sooo~danoe and
~n conformity with Chapter 222, Section 2?2.17, Florida Statut~s.
1 was fo~merly a legal resident of Cent r~r ui 1 t
~~ityj (Sta»)
and 1 ~esided at _ General Delive~r . However I have chanQsd my domidle ~
(Sheet and Number) ~
to and am and have been a bons fide resident of the Stats of Florida sinte 1~"h day of ~
Dixie Mobile Hanea ~
Juae , 19~2~, and I reside at ~
(Street and Number) ;
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FORT PIERCE, SAIN~ LUCIE COUNTY, RORIDA t
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and ihis statement is to be taken as my declaration of citizenship, actual legai residence and domicile in the State of Horida. f
(Insert here any pcninent facts, such as sale of property or business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
$ztering ~nn Hirhardt in the 2nd grada
. R~t.EO AND RE~ppDEO.
sT~
ECO~RD VERNiFjEp
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~l j~8849 ;
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I RJRTHER CERTIFY that I will aomply with al) other requirements of a lepal resident ef this State.
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I FURTHER CERTIFY that I have no intention to retum to my former domitile, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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Sworn to and subscribed before me this 7 day of ~a~t , 19 .
ROGER rOITRAS
CIRCUR COtJRT Notary Public
gy D.C. My Commission expires
(To b~ ~wMd in duplkah and ori~insl Rl~d wiTh CIKIc Ci~aiit Coue~, ~ed d~plieah wiN~ Tax AsMwer.)
m~167 P~E1793 .
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