HomeMy WebLinkAbout1562 D~ciaration ot Oomicil~ and Citis~nship
TO THE STATE AND COUNTY TAX l~?SSESSOR, l~t" `2 _
51. LUCIE GOUNTY, FIORIDA:
Thi: i: my declaration of Domicile and Citizenship ~n th~ State of Florida thst I am filinq this day in aooordano~ and
in oonfa'mity with Chapter 222. Sattion 2Z2.17, Ftotide Statvhs.
1 wss formerly a le~al ~esident of Zinaoln Par~ Yiehi~an
(City) . (Stat~)
and I rosided3156 atrQit 3treet ~ . Hov„ever 1 F~aw dtarpsd my domWk
~ (Stn~t and Number)
b snd am and have been e bona fida residant of the Stste of Florida sinoe 28th ~Y ~
9ept. , i~~, a~ n 12~ Luoero Drios
(Street and Numbsr)
FORT ~IiRCE, SAINT LUCIE COUNTY, RORlDA
and this statsment i: to be taken as my dedaration of dtiunship, actua! leqal ~~ldenos and domidle in fhe Sta» of Florie~a.
(Insen here any pertinent facts, such as ~ale of property o~ buiinass, or rolinquishm~nt of employm~nt
at f~mer domiclls, mmovd! of family to nsw domicik, purchas~ of horne, etc.)
Bstabliehing residenae
• fllE~ ANO -RECORDED~
5T. LUCIE COUNTY. FLA.
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'67 OCI 3 PM 3:36
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. CLERK CIRCUI7 COURT
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I FURTFlER CHtTIFY that i wi!! comply wllh a!! other roquinmsnts of a le~sl r~ideM of this State.
I FURTHER CERT1Flf that 1 have no intention to return to my former domicjle, and 1 intend to rema+n in FORT
PIERCE, SJ?INT LUCIE COUNTIf, FIORIDA, permanently.
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-.-"'-,;SW@~to S~~tLb:uibsd before me sh+: 3 day of Ootober 19 67 .
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CLERK qRCUR COURT Notary Public i
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B~ D.C. My Commission expires
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Re b~ ~xKVNd iA dvpNcaN and ai~inal f~d whi~ Cl~k Cira~if Covrt, spd dnpliah wilM Tax A~or.I i
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