HomeMy WebLinkAbout0824 declaratto~ ot Domlcil~ and Citizenshlp 162045
TO THE STATE ANO COUNTY TAX ASS~ESSOR,
Sl. IUCIE COUNTY, FlORIOA:
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This is my declaration of Domicile and Citizenship in ths State of Florida that 1 am filing this day in aooordance and
in oonformity with Chapte~ Z~2, Section 222.17. Florida Statute:.
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I was forme~ty a legal ~esident of Baiti~ore _ _~.$r.~r~ ~~d - !
(City) (State)
and 1 residad at _ 3449 ~=SM~C~ ROad . Howevei I have dten~ec! my domid~e
(St~eet and Numbe~)
;o and am and hava been a bona fide ~esident of the State of Floride since -..23.~d- day af
Npveabtr , 19~Z, end I reside at 204 Nerth ~ 1?+~ ct ~~Pt ~
(Street and Numbsr)
fORT PIE1tCE, SAINT LUCIE COUNTY, FtORIDA
and th~s sMtement is to be taken as my decla~ation of citizenship, actuel legal ~e:idence and domidle in fhe Staro of Horida.
(Inse~t here any pe~tine~t facts, such as sate of property or busineu, or relinquishment of employment ~
st~former domicile, removal of famiiy to new domicile, purchase of home, etc.)
' Entering Lynden Carol M~ IrlcIe in Tth grade
;
_ and Lanny David IrlcIe in 3rd grade.
~ ' F~~p AND RECOROED'
, ST.I.UCIE ~ VERIF ED~.
RECOR l~cJ ,
~ '6i N~f 27 AM 9: S't
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; rO~ER P0ITRAS
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t`• CLERK CIftCU~T COUR
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1 FURTHER CERTIFY that 1 will aQmply with al) other requirerne~ts of a ta~al resident of fhis Stste.
, 1 FURTHER CERTIFY thst 1 have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name)Hobart D. Davis
~~,~iatti~rly"' ~
: ''U1.. ~':_~~'-~%if~ (A~d~@SS)Loretxa Caral Davis
t.!.-~...::s.,~. L; ~j z'
• \ • tl i-. . .
'J 't;' ~.1: r,~'"i~-'
_ _ s .
~ ~ 27th Noveober 67 -
^=iSuror~ to ~r~i;~scribed before me this day of . 19 -
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- , ',Q:
~~%.~C` R~~~ Nota Public
l~~tG~REUIT COU ?Y ,
''r.. i
gy D.C. My Commission expires i
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(To b~ ~cuNd in duplicat~ and ori~inal fil~d whb Cl~ric Cinuif Court, and duplkah with Tax An~a~or.)
. s~K 169 P~ $18