HomeMy WebLinkAbout2526 ~ Oeclar~tion ot Domtcile and Citisenshlp
50538
TO THE STATE AND COUNTY TAX ASSESSOR. ,jS9~;~! ~
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Sl. LUCIE ~OUNTY, FLORIDA: ±
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This is my declaration of Domicile and Citizenship in the Stats of Florida that I am filin~ this day in aaoordance and {
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~n oonformiy with Chapte~ 22?, Section 222.17, Florida Statutes. !
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t~reenvillage Nex Jarsey ~
I was formerly a legal resident of
(Ciy) (Stst~)
and 1 resided at B~-tten A~ad ,~Wever I have changed my domldle
(Street and Number)
to and am and have been a bona fide resident of the Stats of Florida since 1~ day of
l~14 Coconnt Ave. River Park
J~v 1943__, anci I reside at -($treet and Number)
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FART ~IERCE, SAINT lUC1E COUNTY, RORIDA F
a~d this statement is to be taken as my declarotion of citizenship, actuel legal residence and domicile in the State of Horids.
(Insert here any pertinent fads, such as sale of property o~ busineu, o~ reiinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~tering Cheryl in the 6th grade f~~EA AND R
_ ST, ~U~~E ECORD~a
COUNTY. F
:>~~(~F. ~ lA,
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I~htering Jamea in the lOth grade ~5~`~
's~at~cz2PM,.
Sntering Pavnela in the 12th grade 2~ O 7 f
- J_~CT~, r~- S
~~~RK crRCC,~ -p..S
7 COURT
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1 FURTHER CERTIFY thst I will comply with all other raquirements of a leyal resident of this State.
.r'' I,,C-I~RTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT
PIHtC~,;:~A~~l~'ti7iC1E:CC~JDlTY, FIORIDA, permanently. _
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. i: .--i , i3: = ~ \pl.~~p K ~.3`~GSL
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~ ' ~ v ffiaine ( M rs ~ea ) Price
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Sworn to arid subscribed before me tfiis 2~ day of LtL'z st , 19~. ~
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ROGER rOITRAS
GRCUR COURT Notary Public
By ~'L D.C. My Commission expires
lTe b~ ~x~cut~d in dupliuh aed ori~inal Rl~d with CIKk qrarh Coue~, and d~plieat~ wHh Tax A~s~aor.)
60GK lU / PACE~2S
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