HomeMy WebLinkAbout0156 Oecla~ation et Domicile and Citiz~nship -15~3
TO THE STATE ANO COUNTY T.qX ASSESSOR, ~ -
Si . IUCIE COUNTY, FIORIDA:
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This is my declaration of Domicile and Citiunship in the Stets of florida that 1 am filinq thls day in aooordana and ~
in oo~fo~mity with CFupter 222, Section 222.17, Florlda Statutes.
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1 was formerly a legal ~esident of ~egertot~tn pe~ ~
(~iy) ' (Stst~)
end 1 ~esidsd at 2 . However 1 have charpsd my domWle
(Sheet an~ Number)
to and am and have been a bona fide resident of the Stste of Florida since 2~ d~Y ~
3602 ~ve. R. _ _ _ - _ _
~uKuBt , 1~~..-, and I reside at
(Street and Number)
FORT PIERCE, SAlNT LUC{E COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenahip, ectual leyal residenos and danicile in the State of Florida.
(Insert here any pe~tinent fatis, such as ule of property or businets, or rolinqulshment of employm~nt '
, at former domicile, removal of family to new domicile, purchass of i~ome, etc.) _ ~
Bntering three children in the 81e~nentary school
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FIlEO ANO RECORDEO ~
5T. LUCIE COUNTY. FLA. :
RECORC V~r~IF1ED i
-159693 .
'6t AUG 3 I PN 2: 00
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; ~.C~~~F. ~•OITR:.S
E CL~RK CIRCUIT COURT
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1 FURTHER CERTIFY thst I will oompiy with all other requiremenri of a le~al resident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, snd 1 intend to remain in FORT ~
PIERCE, SAMt~. 1~-COUNTY, FLORIDA, permanently.
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- _ Charlea Joseph Baiera
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5woFN'tb~ and subsuibed before me thi: ~ day of 19
ROGElt rO~TRAS
CIRCUR OURT Notary Public '
a~..~..t,~~ '
gy D.C. My Commission expiros
(T~ b~ pc~cul~d in du~licaN and ori~inal fN~d wilh Clwlc Cieatif Cow1, and dvplicah wilb Tax At~o~.)
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