HomeMy WebLinkAbout2700 Declaration ot Domicile and Citisenship 1~~~84 ~
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY. FIORIDA:
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This is my declaration of Domicile and Citize~ship in ths State of Florida that 1 am filing this day i~ aooordance and i
~n conformiN with Chapter 2~2, Section 222.17, Florida Stawtes. ~
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I was formerly a legal resident of Blue Field West VirRinia ~
~C~~y~ (Staro)
and I resided at ~ 2~x 19 ROCk ~ Va. However 1 have chanqad my domic,ile E
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 18tb - day of
, 1963-, and I reside at 100fi ~pple Stseet
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA .
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the Stab of Horida.
(Insert here any pertinent facts, such as sale of property o~ business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering WoodroW Lee McKinzie in the lOth grade
Establisl:ing residencey FILED AN8 RECOROEO
ST. LUCIE COUNTY. FLA.
~ RF_~nRp VERIFIEO
-159384
'67 AUG 2 4 AM 10 : I 3
_ E:UGE:R ~=0!TRKS
I~ CLERK CIRCUIT COURT
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I FURTHER CERTIFY that I will aomply with al) other requirements of a le~a) r~aident of thia Stste.
I FURTHER CERTIFY that 1 have no intention to return to my former domiCile, and I intend to ~emain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORI~A, permanently.
X~..~ !u-~~ S~ [ ,
. . ; _ ~ . ~ (Name)
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•':•'i~~. Gertsie HcKinde ( Mrs Woodrox)
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• ~C 'r~~~~ ;,,.c ~ - (Address)
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~=~~w~pto' a~id subscribed before me this 24th day of -~$ust 19~2Z.
• . ~
ROGER PORRAS ~
CIRCU COURT Notary Public
~~~fi ' i x 'res
g D.C. My Commiss on e pi
(To b~ ~x~cvbd in duplicat~ and oriainal fil~d wilh Cl~lc Gra~it Cour~, and dupkuta with Tax Assator.)
3~~h.LU~~ r'~t~_~70~ -
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