HomeMy WebLinkAbout2584 Dealaration ot Domicil• a~d Citizenship 1$~65
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TO THE STATE AND COUNTY TAX ASSESSOR, •
51. LUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citize~ship in ths State of Florida that 1 am filinq this day in aooordanos and ~
in conformity with Chapter 2~2, Section 222.17, Florida Ststutes.
1 was forme~ly a legal resident of MilttBUkes ~11~,consin
(City) (Ste») ~
and 1 ~esided at _3~8 S° ?5~ Strset . However 1 have chan~ad my domidle ;
(Street and Number)
to and am and have been a bo~a fide resident of the Stste of Florida since dsy of
_ lugust , 19.~~, and I reside at 1809 So Ind.~i,7er Drive i
(Street and Number)
FORT PIERCE, SAINT lUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domidls in ihe Staro of Horida.
(Insert here any pertine~t facts, such as sale of property or business, or relinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
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Establishing reaidence
FtlEO AND RECOR9lp s
Ehtering l+~ark in the 8th grade ST• LUCIE COUNTY. FIA. ±
RECORD VERIF~ED
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_ 'sl AUG 23 PM 12: I2
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;'O~i_F ?'+017R~,g
CLERK CIRCUIT COURT
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~ I FURTHER CERTIFY that I will comply with all other requirements of a le~al resident of this State.
I FURTHER CERTI~If that I have no intention to retum to my former domitile, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ .
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, ~'v3~t= ~ ~ ~
=,:;V:j~~: . _ (Name) ,
~ ~ = Fiobert A. Lingenfelder
~ ' ~ ~ ~ < q~~';1' ~
~ ~n ~ ~ ~ (Address) :
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~ ~/i,-,,~ ~~*C~'. 6? i
~~Swor~.to and subscribed before me this ~3~ dsy of August , 19 . ;
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Roar~e rorn~as j
CIRCUR COURT Notary Public `
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B ~'~`'L D.C. My ~ommission expires ~
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(To b~ ~x~cuNd in duplicah an~ orioinal fil~d with Cl~rlt CiKUi1 Cant, and dupljca» with Tax A~or.~
~ R ~67 P~E 584 `
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