HomeMy WebLinkAbout2712 O~la~atio~ ot Domicil• a~d Citi=enship
TO THE STATE AND COUNTY TAX ASSESSOR, 163243
Si . lUC1E COUNYY, FIORIDA:
This is my declaration of Oomicile and ~itizenship in the State of Florida that I am filing this day in aaoordanoe and
in conformity with Chapter 222, Section 22Z.17, Florida Statutes.
1 was formerly a legai resident of Y~r~ Citp N YOrt
(City) (State)
and 1 resided at _723 B 99th Stttlt Br00~[1q11 ,~~/1ever 1 have chan~sd my domic3le
(Street and Numbar)
to and am and have been a bona fide ~esident of the Stab of Florids sinoe $th dsy of
Octobrr , lq 6? , and I reside at 4901 Palv Drivt
(Sneet and Numbef)
FORT r1ERGE, SAINT LUCIE COUNIY, FLORIDA
and this statement is to be take~ as my decla~ation of citizenship, actual lega) residerxe and domicile in the State of Horida.
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(Insert here any pe~tinent fads, such as sale of property or business, or relinquishment of employmsnt ;
at former domicile, removal of family to ~ew domicil~, purchase of home, etc.) 1
fistablishing residence FI~ED AND RECORDED ~
ST. LUCIE COUNTY. FI,A.
~F~CORD VEP,~FIEO
16~3
'68 JAM 4 AM ~p ; 20 ~,jj"
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. =:e:~~~ ~~~r7a.:s ~K'"`
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CLERK CIRCUIT COURT
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1 FURTHER CERTIFY that 1 will oomply with all other rsquirsmenis of a lepal resident of this State. '
I FURTHER CERTIFY that 1 have no intention tb retum to my former domicGle, and I intend to remain in FORT '
PIERCE, SAINT Lt3CIL .COUNTY, FLORIDA, permanently.
:iJ:'
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' - Franl~ ~~alabrese
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. - . (Address)
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~%,l. • • , 4th January 68
Swotii'to~and subscribed before me this day of . 19 •
ROGER rORRAS
CIRCUR COURT Notary Public
gy D.C. My Commiu'wn expires j
(To b~ ~c~eoNd in dvplieat~ and oei~iral fil~d wifh Cl~ek Cira~if Co~~, aed dvptieah wHl~ Tax As»s~or.)
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