HomeMy WebLinkAbout2482 Oeciaratlon ot Domicite a~d C~tisenship ~
. ~59295 ~
t0 THE STATE AN~ COUNTY TAX ASSESSOR, ~
Sl. IUCIE COUNTY, FLORIDA: ~
This is my declaration of Domicile and Citizenship In the Stats of Florida that 1 am filinq this day in sooordanos and
in confo~mity with Chapter 222, Ssction 2?2,17, Florida StatuMs.
I was fo~me~ly a leaal resident of ~Sno Pn7 ~„w~
(C~tY) - t5tah)
and i resided at ~ 6 L~seiexicra . However I have chsr~qed my domiCile
(Street and Number)
to ancF am and have been a bona fide resident of the State of Florida since 31~ day of
~~t , 19~_, and 1 reside at ~~u~ l~th ,$traet
(Street and Numbsr) ~
!
FORT ~INtCE, SAINT LUCIE COUNTY, fLORiOA
and this staternent is to be taken as my declsration of citizenship, actual legal retidenoe and domicile in fhe State of Horida. ~
(Insert here any pertinent fads, such as sale of prope?ty or busineas, or reUnqui:hn.ent of employment ;
i
at former domicile, removal of family to new domicile, purchass of har~e, etc.)
$ntering ~/lgnea Rabit in the 9th grade
- Fn.go ~ REC~' . .
~T. ~UCIE COUNTY. FLA..
RECORD ViR`SIF.~IE~S ~
'6T AU6 21 P~1 . ~I : 40 `
'i~~kia'~'"- j
~
ROGE~ ?OITRAS
ELERK CIRCUIT COURT
! FURTHfR CERTIFY that 1 will aomply with ail other rsquiremenn of s Ispal r~ident of this Stete.
I fURTHER CERTiFY that I have no intent+on to return to my former domi4le, and I intend to remain in FOR7
PIERCE, SAINT lUC1E COUNTY, FLORIDA, permanently.
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~'"~'Si~Nbi3i to and subsuibed before me this ~ day of , 19 .
ROGER POITRAS
CIRCUIT COURT Notary Public
gy °°'`'~'~''L D.C. My Commiuion exptres
E Re b~ ~ncuhd in dupikah and ori~inal flbd wilh ~iKic Ci~uit Cov~t, ~nd duplkah with Tax Asw~
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