HomeMy WebLinkAbout1682 i
O~cla~atio~ ot Don~lcil• and Citis~eship . +
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TO THE STATE AND COUNTY TAX ASSESSt)R, ~
Sl. lUC1E COUNTY, FLORIDA: ~
This is my decla~ation of Oomiciie and Citisenship in the Staro of Flaida that 1 am filin~ Mis day in aooordana ~~d
in aonformity with Chaptet 22~. Ss~~tion 222.17, Hotida StatuMs.
1 was formerly a ~e9at ~es~dent of _ Arlineton Virgiois
(Ci~y) ~ (St~t•)
and I resided at ADt C 343 3111 0 20th st N ~ h~v~ ch~rpsd my domidlf
(Stn~t ~nd NumbK)
ro and am arx. have been a 6o~a fide rosident of the St~te of Florida since llth ~y
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Dec. 216 So~~hern Ave_ Ind_ H~its_B~t_ ~
, 19 67 ef:a I reside at
(Street and Number)
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~ naee~, s~u~ wei~ eow~rnr, ao~w - i
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and this statement is to be tsken as my d~claratwn of atizenship, adual lepal residenos and cbmicile in the State of Horlda.
(Insert here any pertinent facts, such as sale of property or business, or mlinquiihment of employment
at former domicile, removal of family to new domicile, purchsse of ha~ne, atc.)
3
Bstablishing residence -
FILEO AND RECORDLD ~ ~
~ ST. LUCIE COUNTY. FLA. ;
{<E:CQRI? V_r~!F~Ep ~
162~Ei26 ~
'6T OEC 14 PM 12: II 4
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ii0:i?:r~, i OITRt,S ~
CLERK CIRCUIT COURT
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1 RJRTHER CHtTIFY that I wlll oomply wHh all oth~ requirerrwnb of a lepal rosident of this State.
I FURTHER CERTIFlf that I have no intention to retum to my formar domi~ile, and f intend to remain in FORT
PIERCE, ~11?t~~ lUCIE COUNTIf, FLORIDA, permanently.
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f~;,~C~ G° - Helen M. Hughes
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~~worn b and subsuibed before me this 14th ~y ~~'p~~r , 19~T
ROG~ rORRI?S
Notary Public
i:v
gy D.C. My Gomm~uan expiros
Q~ b~ ~ocoaiNd is drplicaN aed ori~inal fiMd wMM CI«k Cincrif Gw1, and duplicN~ wilb ?aoc Aa~era
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