HomeMy WebLinkAbout2827 Dacia~atio~ ot Domicil~ ~nd Cittsenship 163?3~~?
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TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. LUCIE COUNTY, FLORIOA: ;
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This is my detlaration ot D~rnicile and Citizenship in the State of Florida that 1 sm filin9 this d~y in sooordanos and ~
~n conformity with Cfiapte~ 222, Section 22?.17, Florida Statutes. }
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! was formerly a Iegal res~de~t of ~ingston Township pi~ ~
(City) (Stste)
RD ~S Shavertown, Pa.
and 1 resided at . ~.~p~~ 1~~ my ~~a~e
(Street and Number)
to and am and have been a bona fide resident ot ihe State of Florids since lst day of
i
Octobe r 66 ?OS Airoso Blvd. '
- , 19 end 1 reside at _
(Street and Numbefj
FORT rIERtE, SAINT ltlClE COUNTY, RORiDA
and this statement is to be taken es my declaration of citizanship, sctusl Itgal residence ansl domitile in the Stats of F{orida.
(Insert here any pertinent facts, such as sale c~f property or busineu, or relinquishment af en~ployment
st former domicile, removal of family to new domicile, purchase of home, etc.) ~
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FI LING FOR HOMBSTBAD PURPOSES
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GOR~~~
RE FI.A•
~ILLVC
E C YER1F
EO
ST• RE Cp~O
. , i` J
JAN a pM 3
'6~
163~
R:.s i
ERK •C~RCV~~ COURt ~
CL ~
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1 FURI'HER CFRTIFY that I will oomply with all other rsquiremenri of a leyal resident of this State. ;
1 fURTHER CERTIFY that I have no intention to retum to m former domiGle, and ! intend to ?emnin in FORT ~
Y ,
PIERCE, SAINT lUC1E COUNTY, FLORIDA, permanently. ~
B~ci-rZOLO~w
~ ooLt.srr~ -
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(Address) ~
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Sworn tq and subxribed before me this gt~ day of Janua ry ' 19 67 `
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: ~
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ROG~~1'O
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ro~~ Notary Public
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gY . D.C. My Commiuion expires
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r~ .
Ro b~ ~ • iN ~depliuh and ai~inal fil~d whh Cl~ek CMarif Co~rh, and duplieaN wiM~ Tax Ats~or.)
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