HomeMy WebLinkAbout2689 Declaration ot Domicile and Citizenship ;
TO THE STATE AND ~OUNTY TAX ASSEWR,
Sl. lUC1E COUNTY, FIORIDA: js~~s
This is my declaration of ~omicile and Citizenship in the State of Flo~ida thst 1 am filin~ this day in aoo~rdanoe and j
~n confamiM with Chapter 222, Section 222.17, Flaida Stawtes. ~
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1 was forme~ly a legal ~esident of Y~~Whp~l Wright Yentuckv ~
(City) (State) j
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General lklivery k
and I resided at _ . However I have changed my domitile
(Street and Number) ~
to and am and have been a bona fide retident of the State of Florida sinte 20th day of
Dece~aber , 19 67 a~ I reside at 3221 So Federal Highway
(Streef and Numbar)
FORT PIERCE, SAINT WCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in the Stero of Horida.
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(Insert here any pertinent fads, such as sale of property or business, or relinquiahment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
. Entering Randall Ramey in the ist grade
F~~E~ ANO
ST, IU~~E RE~ORDEp ~
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I FURTHER CERTIFY that 1 will oomply with all other requiremenri of a le~aa) residant of this State. ~
t r main in FORT ~
i FURTHER CERTIFY that I have no intention to retum to my former domiu~e, and I ~ntend o e
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PIERCE, SAINT LUCI~.~OUNTY, FLORIDA, permanently. ~
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,t:ut~rrtr~~
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. : (Name) ~
- ~ Brenda Rameq i
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' ' % . (Address)
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Sworr~`~ki-aid~subxribed before me this dsy of oaziausn 19 68
aoaee rom~?s
CIRCUR COURT Notary Public
gy ~O'~'~~- _ D.~. My Commiuion expi~es
(To b~ ~x~evl~d in duplicat~ and ori~inal fil~d with Cl~lc Cirwit CouK, and duplieah whh Tax As~or.)
B~K sss P~~ zs ~o
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