HomeMy WebLinkAbout0982 D~cluatlo~ ot Domicli~ and Citise~ship 162i49
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declarstion of Oom~cile and Citizes~ship in th~ State of Florids that 1~m fili~ thi: day in aooordanc~ and
~n conformity with Chapte? 222, Saction ~ZZ.17. Florida Statvtes.
1 was formerly a legal rosident of ~UISVII.I.B ~Y
(City) (Stat~)
and 1 resided at 231 POStlastd Hov„ever ! have chsrqsd my domitile
(Stnet and Number)
ro and am and have been a bo.~s fide resident of the State of Flo?ide sirxe lstb day oi
Novsbe= 19
6~ , and 1 reside at U. S. ~1 (Gen. Delivery)
(Street and Number)
FORT MERCE, SAINT lUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of ciNzenship, actual legal residence and domicile in the State o4 Horida.
(Insert here any pertinent facts, such at ssle of properfy or business, or ~elinquishment of employmsnt
at former domicile, mnwval of family to new domicile, purchase of home, etc.)
r
t
Bntering childsen in Pnblic Schools
CAROL RO?S~S PA~B (14 yrs)
BILLY JBAN PA~B C13 ~rs)
B,ARNIB RI~Y PA~B (10 ~rs) ~~~0 AND RECt~D~:., :
~ NA~CY BBRNICB PA~B (8 ~rs) ST.RECORD VER~F
ED , ~
~ '
' 16214
+~i ~ 29 AM ~ I 9 ;
~
;i0,r,~n t 01?RAS ~
~ CLERK CIRCUIT COURT
~
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1 FURTHER ~ERTIFY that ! wil) aomply with al) other requirement: of a leyal resident of this Staie.
. ~
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT ;
PIERCE, SAINT LUCIE COUWTIf, FLORIDA, permanently. •
~ . , " . ~ ~ l/
. ~ . (Name)
- ~ - f. - JQH~I H. PAGB ~
. ~ - t
' ' ~ . ~ - ~ (Addtess)
.
Sr~rqn+ to-and~iubsuibed before me this a~tb day of No~eaber ~ 196T
'•+r,1... • ~
• ~ `
'OITRAS
IT Notary Public ~
.
gy . Idly Commiuion expires
_ ~
(Te b~ ~x~a~d duplicM~ an~ o~i~in~l fil~d wflb Cl~k C~rarif Ce~r~, and dup{ic~fs wbb Tax A~or.)
g~~ss P~ 971
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