HomeMy WebLinkAbout2823 163~~33
Declaratio~ ot Domlcil• and Citize~ship
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TO THE STATE ANO COUNTY TAX ASSESSOR, I
Sl. LUCIE GOUNTY, FIORIDA:
i
This is my declaratio~ of Domicile and Citizenship in the State of Florida that 1 am filinq this day in sooordano~ and ~
~n oonformity with Cfiapter 222, Section 222.17, Florida Statutes.
t was formerly a legal resident of Phoeniz Ari~nna
(City) (Sta»)
and 1 ~esided at - _ 100~ l~. 15th 3t. . However I have chsrped my domitile
(Street and Number) ~
to and am and have been a bona fide ~esident of the State of Florida sinte 28 day of ~
i
DeCembe]~ , 19~, and I roside at 500 Seawav Drive St_ I,u~ie
(Streat and Number~,r8ilway Tr. P][~
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, sctuel feyal residenoe and domicile in the Stsro of Ftorida.
(Insert here any pertinent fac+:, such as sale of property or business, or relinquishme~t of employment
at former domicile, removal of family to new domicile, purchese of home, etc.)
Ric~Cey Price
: ~Sharon Price
,
FILEO AND RECORDED
ST. LUCIE COUNTY. FLA.
R=COt~~ VERIFIED
163333
'68 JAN 8 PM Z; 5 9
, . ~ •
:=~~t=i- ~V.TR:.S
C~ERK C(RCUIT COURT
I FURTHER CERTIFlf that 1 will aomply with all other requirements of a lepal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domici~e, and 1 inte~d to remai~ in FORT
PIERCE, SAINT LUCIE COUNTY, FLORI~A, permanently. '
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(NenIC~
..,;,;t, - Fre YcYanua
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L,. J SwQtit to ena so~tcribed before me this 8th day of January , 19~~. `
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°~RCUIT COURT Notary Public
By D.C. My Commiuion expires
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(To b~ uacvl~d in duplicah and ori~~al AI~ R ~PA6E~~~' and dvplic~ wiH~ Tax Aa~a~or.)
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