HomeMy WebLinkAbout0467 ~aration of Dt~r~i~il• and Cltlxen~chip 1s1843
TO THE STATE AND ~OUNTY TAX ASSESSOR.
51. IUCfE COUNTY. FlOR1~A: ~
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This is my decla~ation of Oomicile and Citizenship i~ the Stats of Florida that 1 am filir~q this day in aooordanoe and
in oonformity with ~:hapter 222, Sectien 22Z.17, Florida Statutes.
I was former~y _a_~al resident of Ahit r~ _ asa~hu~ ta
_ (City) (St~») -
and t resided at _~.~A
f'Tr~ 4#~~~„~~ Howevef 1 hsve chenqsd my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Flaids since day of
_~~~p , 19_b.~., and I reside at 411 South 2nd St~'eet
(Street snd Number)
FORT PIERCE, S/11NT LUClE COUNTY, RORIDA
ar~d this statement is to be taken as my declaratian of citizenship, actual le~al re:idencs and domicile in the Stats of Florida.
(Insert here any pe~tinent fads, such as sale of property or business, or relinquishment of employme~?t ~
at fo~mer domicile, removal of family to new domicile, purchass of home, stc.) #
$ntering 8obin dean Hood in the 8th grade ~
F11.E0 ANO RECORDED
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ST~ LV~p~p vERIF
EO~~ Cheryl Ailen~ in ths ?th grado
RE Hallett Philip in the 5th grad•
' ,sT ~ ZQ yZ Sh~ldon Drew in tho 4th grade
161843 ~elody 7,,ynn in the ~at ~aa•
ROGER ~ 01TRAS ,
~LEaK CIRCU17 C~~R7 i
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I FURTHER CERTIFY that I will oomply with all other requirements of a leyal resident of this State. ~
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! FURTHER CHtTIFY that I have no intention to ~etum to my former domicGfe, and I intend to remain in FORT ~
PiERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Yrs her Q`~a"'~~ Glad~a Yae Hood
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' ~$worn ta antJ s~+k~scribe,~ before me this 20th dsy of Bnvenber , 19~L2. ~
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' . ~ ' RO~iER. PORRAS ~
CIERK ~IRCU:T CO Notary Public
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gy O.C. My Commission expires j
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(To b~ uunrNd in dvpfkaN and orf~in~l ~d w~itb Ciraiif Coa~t end dupliuh wHh Tax Aa~s~or.~ i
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