HomeMy WebLinkAbout2736 1594Q3 ~
De~laration ot Domicile and Citi:e~ship .
TO THE STATE ANO COUNTY TAX ASSESSOR.
Sl. lUC1E COUNTY, FLORIQA:
This +s my declaration of Domicile and Citiien3hip in ths State of Florida that 1 am filing this day in aooorda~os and '
in conformity with Chapter 222, Section 222.17, florida Statutes. ,
! was formerly a legal resident of ~1~.
(City) (Stste)
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and I ~esided at _ 2928 ~tithf3eld Rd. . However 1 have changad my domiCile
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since 2~ dsy of
J~ - . 19
6~ , and I reside at 2312 Gear~gia lve,
(Street and Number)
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FORT PIERCE, SAINT LUCIE ~OUNTY, FLORlDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of en?ployment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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E~TTERII~'G TWQ ( 2) QiILD~N IN PiJBLIC SCHOOIS
DF~R~ Iu1HI.EN8 TAYI~OR (1!t Yr's) AN~ RECOROFLA.
. g ll.~E~uC1E ~cOU R;
YEO
JS~'FREY GOI~ON TAYLOR ta u: c~=~ ~ i594~3
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1 FURTHER CERTIFY that 1 will oomply with all other rsquiremenfs of a leyal resident of thls State. j
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1 FURTHER CERTIFY that 1 have no intention to return to my former domicjle, and t intend to remain i~ FORT
PIERCE, SAINT IUCIE COUNTY, FIORIDA, permanently.
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(Name) !
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M RS. 5. a. T~YIAiR :
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'...;G'g ~~i~~ . (Addreas) I
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~ ; ~ 21~th AUGUST
~ ~~,SwpTn1'tb'~subscribed before me this day of , 19 67 ~
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. .Cti COURT Notary Public ~
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gY D.C. My Commission expires
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tTo b~ ~x in dvpliut~ and ori~inal fil~d witb Cl~ek Cira~it Cou~f, and duplicab wiH~ Tax As~or.)
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