HomeMy WebLinkAbout0983 +VFr1VV ~
D~cla~atio~ of Oon~icile and Citis~nship ~
TO THE StATE AND COUNTY TAX ASSESSOR, '
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St. lUC1E ~OUNTY, FLORIOA:
This is my decla~ation of Domicils and Citizenship in th~ Sta~e of Florida that 1 s~: filin~ this day in sooordanos and
in aonformiy with Ch~ptar 22Z. Section 222.17. Florida St~tutes.
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IAUISV II1.B LY. . ;
1 was forme~ly a legal resident o~ _ ~
(City) (Stah) ;
~
Z~~~. ~ $OUttl Ist $t• ~
and ~ residsd at - ' . However 1 hav~ chansed my domidle j
(Street and Number) ~
1Sth ~
M end am and hav~ been a bo~a fide ~eiident of the Stste of Florida sinoe day of `
Nove¦ber 6T N. U. S. #~1 '
_ , 19 , and 1 rotide at +
• (Street and N~~) i
~
FORT r1ERt~, SAINT LUCI~ COUNTY, RORIDA ~
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and this statement is to be taken as my declaration of citizenship, actual legal residance and domidls in the Sta» of Florida. ;
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qnsert here any pe~tinent facts, such as sale of properry or business, or relinquishment of employm~nt ~
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at forme~ domicile, removal of family to new domidle, purchase of homa, etc.) f
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: Bntering children in Public Schools
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THOMAS RAY RII?~S (10 yrs)
CALVIN I.BWIS RII?~S ( 7 yrs) FILEO AND RECORDEp'
ST. IUCIE COUNTY. I~q~
R~CORD V=RIFIEO
S 1621 5~N?'~•~
- '6l NOV 2 9~A Il : I 9
it0:;:_r~ ~~OITR:,S {
CLERK CIRCUIT COURT
I RJRTHER CERTIFY that I will com~ly with all other roquirsments of a~spal resident of thi: State.
I fURTHER CERTIFY that I have no intentian to retum to my forme~ domi4le, and I intend to remain in fORT ~
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently. ' ~
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- : _ . ~ , ~ " : li(ARY RIMMBS ~ ijj
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J"!~'••~, • • ~ ~
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~•••$tM,ofn.taand suburibed before me this day of , 19~
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; ROGER .
~ CI~tK U Notary Public ~
By D.C. My Gommis=ion expi~es ~
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(To b~ ~oaaMed !A dvplic~N and ori~in~l Al~d wilh Cl~k Gra~i1 Cov~f, ~nd d~plicah wilk Tax At~er.) ~
a~ 169 P~ 972 ~