HomeMy WebLinkAbout0274 ~ D~claratio~ ot Don~icil~ and Citisenshlp ~
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TO THE STATE AN~ COUNTY~ TAX AS.SESSOR, •
Si . lUC1E tOUNTY, FLORIDA: ,
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This is my declaration of Domicile and Ctizer~ship in ths State of Florida that 1 am filinq this day in aooordana and
in conformity with Chapte? 222, Section 222.17, Fiorida Statutei.
~ was formerly a Iega1 rssident ofHyatt~ville Nasyland • ~
(~ity) (Sta») ~
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and 1 resided at 6617 24th P1aCe ,~,,,~e;~ 1 have chany«i my domkile ;
(SN~et and Numbe~)
ro and am and have been a bona fide resident of the Ststs of florida sinos a$~~ day of
J~n~ , 19 bq a~ ~~i~ ~ 601 So Ocean Dri~e
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FORT N~CE, SAINT LUCIE COUNTY, lLORIDA
and this statament is to be taken aa my declaration of citizsnship, actval la9al residenos and domidle in fhe State of Florida.
(Inssrt here any pertinont facts, such as sale of property or businass, or rcltnquishment of employm~nt
at former domidle, removal of family to new domicile, purchase of home, etcJ
Bntering Juea B Martia lII in the Sth grade
" Debra Jean in tbe ?th grade
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FIl.ED AND RECORDF`A~ _ _
ST.R
V~~R~ VERif ED '
; 159''r'r0, 3
5 p~ Z . 2q ,
i '61 SEP ~
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. ,~OITRAS
~.o~_n
CLERK CIRCUIT COUR7
1 fURTHER CHtTIFY fhat i will oomply with al! oH~sr requirements of a lepal rosldsnt of this Sta».
I FURTHER CERTIFIf that I have no intention t~n retum to my former domicjle, and 1 intend to remain in FORT
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PIERCE, SAINT LUCIE ~OU~IiY, FLORIDA, permanently.
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. ~s . J, ~ ~lartin Jr. ~ p~g6Y ~
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•<,tl C~t ~ ~ Se~tea~ber t9 6T . ~
' Sworn~to and subscribed before me this st}~ day of .
ROGER ~ORRAS
CIRCUR COURT Notary Public
_ gy D.C. My Commissio~ expires
Ro b~ ~x~cvi~d in dvpNeaN s~ orioin~l fil~d will~ Cl~eic Ck~arN Couef. and ~ wilh Tax A~~orJ
aoox168 Pac~ ~2?4
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