HomeMy WebLinkAbout0068 Declaration ot Do~nicil~ and Citize~ship ~5~~8 ,
TO THE STATE AND COUNTY TAX ASSESSOR,
Si . IUCIE COUNTY, FLORIt?A: ~ ~ ~
Thi: is my decla~ation of Dornicile and Citizenship in the State of Florida that 1 am filinq this day in eaoordanos and
in aonfo~mity with Chapter 222, Secfion 222.17, Florida Stahites. ' ~
I was fo~merly a Isgal rosident of ~ B~~~ H. J. _
~~iy~ (Sta»)
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and 1 ~esidsd at _702 Ola 3ts~s Rd. • , HoNrevar t have chanqed my domidle
(Stroet and Numbe~)
to and am and have been a bona. fide resident of the State of Florida sinoe T~ d~Y ~
_ J~ , 196? , and I reside at Q B~ 1?3
(St~eet and Number)
FORT ~I~CE, SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to be taken as my daclaration of citiunship, sctual leyal residence and domicile in the State of Hotida.
(Insert he~e any peninent facts, such as ssle of propsry or business, or relinqui~ment of employm~nt _
at former domicile, removal of family to nsw domicile, purchase of homs, etc.)
A11t,ering child in rublic sit achoal
Ftt.Ep AND R~~pR0E0 ~
DI.~I~ M~NFRBDI .(9) ST
~LUCiF rnyNTY. F
~~aQ V~qlFfEO
, _ 'sl auc -30 ~o ; ~ r
:{p:~E:'r. ?•OITR:,g ~5~ .
ClERK ClRCUfT COURT
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1 FURTHER CERTIFY that i will oomply with all other raquiroments of a le~ai resideM of thi: State.
1 FURTHER CERTIFY that I have no intention to retum to my former domiCi~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permsnently.
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~ ~~lliN ru'°~;,~ DO~NALD ST~lN31~Y
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4~~ ke+¢~~si~n'bed befae me this ~ day of ~~8 , 19~.
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~K Notary Public
gy D.C. My Commi:sion expiras .
(Te b~ ~c~crNd in duplicab and ori~inal fil~d with Ci~ek qrarh Cou~f, and duplicaN wilh Tax As~or.) ;
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. a~x 168 ~ 68 ~
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