HomeMy WebLinkAbout2752 ~
~ecla~ation ot Oomicile and Citisenship ~5~6 I
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is my decla~ation of ~omicile and Citizenship in ths State of Florida that 1 am filing thi: day in aaoo~da~oe and
in confo~mity with Chapter 22Z, Section 222.i7. Florida Statutes. ~
I was forme~ly a legal resident of Jackaon Mis ~88ippi
(City) (Stst~)
Rt 2 ~ax 7
and 1 resided at - . However 1 have changsd my domiCile
(Street and Number)
to and am and have been a bona fide te:ident of the Stste of Florida sinoe 3rd day of
_ June _ , t9~.Z, and I reside at 813 Daymon ~venue
(Straet and Numbsr)
FORT ri~CE, S/11NT LUClE COUNTY, FlOR10A
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicils in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishmsnt of empioyment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
. ~
va
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~ntering daughter in 8th Grade ~ o ~,c~ ~ c~
7 n O
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~ I FURTHER G'ERTIFY that I will canply with all other requir ~13r of a Ispel resida~t of thi: State.
1 FURTHER CERTIFY that I have no intention to retum to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
- 7
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-~;.~i -;i`' ~ ' (Name)
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~:r;, .=~~f.4''''~.j`~~~~~ - Mrs. ~atherine Rflse
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- •Siiv x~~,a ~;ubsuibed before me this ~5 day of ~1K1~I8 , 19 . '
.~,~;~l.• ;
,
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ROGER MITRAS ;
CtERK CIRCUIT COURT Notary Public
~ ;
gy .~w1'e~ . 1,~ • D.C. My Gommission expires '
~
~To b~ ~x~arhd ie duplicat~ and ori~inal fil~d whh Cl~ek CiraiN Court, and dvplicah whh Tax AsWaor.)
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