HomeMy WebLinkAbout0287 . ~
O~cl~ratien of Oor:y~ctl~ and Citt:enship 4
.
~ 161'72~
TO THE STATE ANO COUNTY tAX ASSESSOR.
Sl. LUCIE COUNTY, FLORtDA:
This is my daclaration of Domicils and Citi=enship in ths Stats of Florida that 1 em filinq this day in eaordenos and
,n oonformity with Chapter 222, Section 222.17. Florida Statutes.
I was fo~merly a legal reside~t of Rochester Hpw Yerlr
(City) (Sta»)
and I resided ar C~^°"* park Drive However 1 hav~chanQed my domidle
(Street and Numk»r) ~ •
to and am and have been a bona fide tesident of the State af Florida sinte 13t day of
octnh~r ~9 6?, and I reside at 420 N B. Coconut Ave.Port St. Lucie
- (St:aat anr! Numl~ar) '
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizensfiip, actuel legal residence and domictls in the State of Flortda. '
(Insert here any pertinent facts, such as sale of proparty or busineu, or relinquishment of employment
at frormar domicile, removal of family to new domicite, purchase of home, etc.)
Establishing residence
FILED aN0 RECOROEO ~
ST, IUCIE COUNTY. FLA.
p~coRO ~~E~iF~~o
. 161"722
'6T NOU ! S PM 2: 27 ~
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:OG~~i~ i~t7i ~ R;.S
' CLERK CIRCUIT COURT
1 FURTHER CERTlFY that I will aomply with all other requirements of a le~al resident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domiti~e, and I intend to remain in FORT
~ ~
PIERCE, SAINT LUCIE COl1NTY, FLORIDA, permanently. ~
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~r~~ - = iKillard ~;a`~) Wehner ~
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' . . - ~AWfeSS~ i
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Sworn to and subsuibed before me this 15th day of Nove~ber , ~q (~7 :
i
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ROG~t PORRAS ~
CIRCUR C Notary Public ~
~z~_~1,.~ ~
gy ~.C. My ~ommiuion eupires ~
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(To b~ ~x~cul~d in dvplicM~ and o~in~l Al~d with C{~rlc pra~if Coue~, and dupliuh wilb Tax Asw~or.) !
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a~K169 0~~~ 283
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