HomeMy WebLinkAbout1826 D~cl~ation ot Domictl• and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR, 1EjQ~3~ .
Sl. lUC1E COUNTY, FLORIDA: ~
This is my decla~ation of Oomicile and Citis~nship i~ th~ Staro of Florida that I am fillrq thi: day in ~ooorda~ a~d
i~ oonfomnity with Chaptar 222. Section 222.17, Florida Statut~s.
1 was forme~ly s le~al resid~+t of xswbliTL 8orth Oarolina
(City) (5tab)
and I rosided at 429 eroad ~ . Howww 1 haw d+arpa! my domWls
(Sh~et and Numbar)
ro snd am and have bean a bona fide ~esident of the Sts» of florida sinos lOth _ ~y ~
~,igust ,~q 67 , a~ ~ Dizie Trailor Park- So Q S#1
~ .1~a;~.l~v'"G ~t snd Numb~r)
FORT MERCE, SAINT WCIE COUNTY, lLORI~A
and this statement is ro be taken as my declaration of citiunship, ectual IeQal retidenos a~d domidtf in ths State of Hotida.
pnsert hera any pertinent facts, such ss sale of property or business, or relinquishnn~nt of employm~nt
at former domicils, removal of family to n~w domidle, purchase of home, etc.)
Sntering 3 ohildren in sohool
REC.4ROEa
FiLE~ AN ~pVlOTY~ ~L~?•
y gZ.RF
C~~~ VER~3~ -
160 y
:
•g1 OCT ~ ~ ~ 9 I
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1 RJRTHER CHtTIFY that 1 will aomply with all other requirerrienfs of a Ipa! rosident of this Stat~. ~
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1 FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, $A~f~'~~qUNTY, FLORIDA, permancntly.
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~ : y-'".;~'' ~ Dorot~? r~~ Hill (Yre Tom~y )
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Sworn ta and wbxribed before me this lOth ~y ~ OotObt?T 19 67 .
ROGER rORRAS .
CLE~K CiRCUR COURT - Notary Public
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By To 0.C. My Commission expires !
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Ro b. .oo.url.d i~ deplica~. .ed .ri01na1 Hl~d whM c~i.~lc a~f cow~, .nd d~pik.~. will~ T.oc A.....ora
e~168 P~~1821
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