HomeMy WebLinkAbout2071 ~eclaration ot Domicil• and Citi:enship 15~3~ ~
TO TNE STATE AND ~OUNTY T~X ASSESSOR,
51. IUCIE COUNTY, FIORIDA:
This is my declarotio~ of Oomicile and Citisenship in the State of Flo~ida that 1 am filing this day in aooordenos and
~ n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal ~esident of i1i110N Grdve
(Ciy) tate)
and 1 ~esided at 2~5 Ltm~r Lane , However 1 have chsn~ed my domic3le
(rtreet and Number)
to and am and have been a bona fide resident of the State of Florida since 5~ day of
_~igu$~,. 19
6~, and I reside at 23~ ~ 29th Street ~pt 2
(Street and Numbsr)
FORT PIERCE, SAINT LUCIE COUNTY, RORID/1
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and this statement is to be taken as my detlaration of citizenship, actual legal residence and domicile in tfie State of Ho:ida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishmenf of employment
at fo~mer domicile, ~emoval of family to new domicile, purchase of home, etc.)
Fstablishing residency St' CUC E~ RE~OROED~
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1 FURTHER CERTIFY that I will oomply with all other requirements of a leya! resident of this State. ?
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I FURTHER CERTIfY that I have no intention to retum to my former domiGi~e, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, perma~ently.
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' r.,` ~~L-;; ~ti':: george craig fulener ~
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~ ~n • y Q - (Address) .
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Ci , ~ llth ~gust 19 6?
~''~,,~i~n fo~i~d~subscribed before me this day of . -
ROGER PORRAS ,
CIRCUR COURT Notary Public `
gy D.C. My Commission expires
(To b~ ~x~cut~d in duplicab and ori~inal fil~d with Cl~rlc Grarit Coue~, and duplicab witb Tax Aswaor.)
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d00K 161 PACE ~ I 1,
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