HomeMy WebLinkAbout0931 Oectaratio~ ot tfomiclls a~d Citizenshlp
162i10
~O TME STATE AN~ COUNTY TAX ASSESSOR, '
Sl. LUCIE ~OUNTY, FlOR1~A: ~
This is my declaration of Domicile and titize~ship in ths State of Florida that 1 am filiny this day i~ aooordano~ and
~n conformity with Chep~er 222, Section 2?Z.17, Florida Statutes.
I was formerly a•:agal residKnt of FicZey Ohio
(CiN) (Stet~)
er~d 1 resided at ~126Shi~Iklc Str@et Hawever 1 have cha~ed my domitile
(Straet and Number)
to and am and have been a bona fide resident of the State of Florida sinoe 2'4th day of
November _ , ~y~ , a~ ~ reside et _ 2105 Do~lald Stteet
(Street and Number)
~ORT ~tERCE, SAINT lUC1E COUNTY, FLORiDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domitile in the Stero of Horida.
(Insert here any perti~t fads, such as sale of property or business, or ~elinquis~ment of emp~oyment
at fo~mer domicile, removal of family to ~ew domicile, purchase of .home, etc.)
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Entering children in Junior High and ~Iementary school ~
• FILEO AND RECOAOED~ !
ST. lUC1E COUNTY. FLA• j {
,,::~~i::i;::;,:r;.- RECORO V~RIFIED
.~O~A•;. .
~ , ~
= - ~ _ . 2~ AM 10 : 29
'6T NOV
~ _ - - ~62110
- ~ - : ~ =
' ~ r ~ icOvEit ?OtTRAS
- • ' ' ~ CLERK CIRCUI7 COURT
~i~~J~ ~ • '~~i~~`
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I RIRTHER CERTIFlf that 1 will oomply with al) other requi~emenri of a leya) resident of this State. ~
+
t FURTHER CERTIFY that I have no intention to return to my former domi4le, and t intend to remain in FORT ~
PIERCE, SAINT IUCiE COUNTY, FtORtDA, permanen~ly. ~
~
. , U ~ t
~
. (Name)
_ . - " - Richard Corbin -
j ~ ? _ ~ ~I ~ - ~ _ 7
~ ~ = (Address)
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.
~ 28th November , 19 6~
- S~b~ti"to~anc! subxribed bafore me this da of
. - Y .
ROGER rO1TRAS
CIRCUR OURT Notary Public
~..L
BY D.C_ My Gommiu'wn expires
(Te b~ ~xssvhd in duplicah anel o~i~inal Nl~d whh CIKk pra~it Courf, aed duplicaN with Tax As~aor.)
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