HomeMy WebLinkAbout0252 -iv1 V:.'.7
~acla~ation ot Domiali~ a~d Cittzenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. lUC1E ~OUNTY, FLORIOA:
This is my declaration of Domicile and Citize~ship in the Stste of Florids that 1 am filin~ this dey in accordanae a~d
i~ oonformity with Chapter 222, Section 222.17, Florida Statutes.
1 was fa~merly a iegal ~esident of Veraon A1 AhA1~$
~~ity~ (State)
and I resided at - ~utc 1 Howevef 1 have tharpsd my domiClle
(St?~t and Number)
b and am and have been a bona fide resi~ent of the Stats of Florida sinca lOth day of
Nov_e~ber ,~q 6?, and I ~eside at 3705 Rhode Ialand Aveaue
(~heet snd Number)
fORT MERCE, SAINT LtjC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal ~esidence and domidle in the Staro of Horida.
(Insert here ar.y pertinent facts, such as ssle of property or busineu, w relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering Joey Ada~s in the eighth grade
p ANp R~~~Y
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C`ERK C1KCVIS
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i FURTHER G'ERTIFY that 1 will comply with ali other requiremenis of a IeQai residsnt of this State.
1 FURTHER CERTIFY that I have no intention to retum to my fomne~ domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORI~A, permareently.
;
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(Na~is ~ wanda AdaOs
1
c% Turley Adavs ~
,
(Temp.) 510 Tueblingklin~ Road i
(Address) Fort Pierce '
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`'~~irpm~~i~d,~subscribed before me this 1 d~ ~y of Nn~p~h~.r , 19.b.Z-.
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. ~ ~'q~~j~~p~ Notary Public
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ey ~ y ~ D.~. My Commission expires
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(?a b~ ~ac~whd in dupiicat~ and o~inal filsd wilh Cfwk Grarit ~ouet, ~nd dvplica» wilb T~x As~or.)
a~K ~.69 ~ 248
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