HomeMy WebLinkAbout1910 ~ 158935
Declaration ot Domicil• and Citisenship
TO THE STATE AND GOUNTY TAX ASSESSOR.
S1. LUCIE COUNTY, FIORIDA:
This is my declarotion of Domicile and Citizenship i~ the State of Flo~ida that I am filinq this day in aooordanoe snd
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~n conformity with Chapter 222, Section 222.17, Florida Statutes.
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I was formerly a legel resident of Jol.ie#~ Illino~i8
" (Ciy) (State)
and I ~esided at ~~Y'1,Y ~aCe . However 1 have chansed my domic,ile
(Street and Number) ~
to and am and have been a bona fide reside~t of the State of Florids sinte th day of
__~Dril__ , 19
6~, and 1 reside at 115 Serenata Conrt _
(Sheet ar~d Number)
Port St. Lucie
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actuel legal residence a~?d domicile in the State of Horida.
(Insert here any pe~tinent facis, such as sale of property or business, or ~elinqulshment of employment
at former domicile, removal of family to ~ew domicile, purchase of home, etc.)
_ Sntering Mary BetnLarres in lst Crade
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-~~~Lf 0 AND RE~pRD
- ~~~~E COUNTy. F
L~~LE RIFIEp A'
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CtER!( CI~CUIT COURT
I FURTHER CERTIFY that I will oomply with all other requirements of a leyat resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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G~ G~~, '
(Name) ~
- Donald Larris
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' (Address)
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Sworn t'o iiic},~scribed before me this 9th day of -~3~~t , 19~_.
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C C~~CtlIT COURT Notary Public ;
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gy O.C. My Commission expires
(To b~ ~x~evhd 1n dupticai~ and ori~iesl fil~d wiTh Cl~elc Cirwif Court, and dapiieat~ wfth Tax A~aor.)
. a~K16~7 P~~19~0
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