HomeMy WebLinkAbout2503 ~
De~laration ot Damicils and Citisenshtp 159310 :
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. WCIE COUNTY, FLORIOA:
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This is my decla?ation of Domici~e and Citizenship in the State of Florida that 1 am filin~ this day in actordanos and i
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in conformity with Chapte~ 222, Sectio~ 222.17, Florida Statutes. j
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K~B~ Oklahana - ~
1 was formerly a le4al resident of
(C~tY) (Sta»)
and I resided at 503 N bo1118 Tltt~ ~~,,,eV~ ~ have chsn9ed my domiGle
- (Street and Number)
~o and am and have bee~ ~ bona fida resident of the Stats of Florids sinca ~ day of
jugust 6? 802 pela~re Ave~nne ~
19 , and I reside at 1
(Street and Number) ~
6
~ORT'IERCE, SAINT LUCIE COUNTY, RORIDA -
and this statement is to be taken as my declaration of citizenship, actua! legal resider~ce and domicils in the State of Horida.
(Insert here any pe~tinent fads, such as sale of property or busineu, or relinquiahment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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EstaLlishing residence ~ ~ N
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Sntering chi~dren in 8th. ar~d llth Grades rv ~~?y
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1 RJRTHER CERTIFY that I will comply wittt all other requ~rements of a lepal reslcknt of this Stste.
1 FURTHER CERTIFY that 1 have no intention to return to my former domiCite, and t' fend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanent{y.
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' , (Name) ;
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Sworn to arid suburibed before me this 21 da af ,~qb ;
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ROGER PORRAS
CLERK CUtCU1T COURT Notary Pubiic
gY - 0.C. My Commission expires
(To b~ ~x~cvl~d ie duplicat~ and oripinal fil~d whh Cl~rk Grwi~ Cawef, ahd duplieat~ wit6 Tax Ass~or.)
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