HomeMy WebLinkAbout0681 . Oie~la~ation ot Domicfie a~d Citl:snship
16i94~
TO THE STATE ANO COUNTY TAX ASSESSpR,
Si . tUCIE COUNTY, fIORIDA: .
This is my decla~ation of Oomicile a~d Citizenship in the State of Flo~iaa that 1 am filing this day in sooo~denoe and i
~n co~farmity with Chapte~ Z2~, Sectior~ 222.17, Florida Statutas.
1`was formerly a Isgal resident of _ At18IIt~, Genrota
(~~h?) (Staro)
ar.d 1 resided at 1248 Stewart A~e. A IS ~„1ever I hav~ chanQed my domitile
(St~~t and Numb~r)
t~ arsd am and Fsave been a boma fide ~esident of the State of Ftorids sincs lat day of ~
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_8ovember ; 19~~, and I reslde at II S~ 1 Gene • YOtel
(Strest and Number)
FORT WERGE, SAINT LUCIE COUNTY, RORIDA
and this stater»gnt is to be taken as my declaraticn of citizenship, sctual legal residenoe and domicile in the State of Flortda. ~
(Insert here any perti~ent fads, such as sale af properry or busineu, or relinquishment of amployment
at former domiciie, ~emoval of family to ~ew domicile, purchase of home, ett.)
8ntering ,uzan Annette ~owne in the lst grade
FII.ED ANO RECOROED
ST.p
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Rlf?EO~.
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'6T NaV 22 - ~ 9 ~g~.~ ;
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=i0v::n i•OIT.RAS
CL,ERK ClRCUI`[ COURT
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1 FURTHER CERTIFY that I will oomply. with all ~other requiremenis of a la~al reside~t of this Stab. ~
i
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1 FURTHER CERTIFY that ! have no intention to retum to my former domiqile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, perman~ntty. ~
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. -~i~i- " (Name)
- - ' - lY
8uth ~Yal[rop ( Yrs Donald ) `
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~ . t ~ (Address)
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Sworn to end subscribed before me this 22 day of ~ovenber ~ 19 67 ,
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ROGER rOITRAS -
CIRCUIT COURT Notary Public ;
8Y ~ D.C. My Commiuion axpires '
(To br uacvhd in dupNcala and oei~inal f~bd wll1~ Cl~rlc prcuil Cou~f, and dupticah wiTh Tax
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