HomeMy WebLinkAbout2828 ~eclarati~~ ot Domicil• and Citizenship '~6h~~8
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TO THE STATE AND ~OUNTY TAX ASSESSOR, ;
51. LUCIE COUNTY, FIORIDA: ~
This is my declaration of Domicile and Citiunship in ths Stats of Florida thst 1 am filin9 this day in aoootd~no~ and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of COlu~bus Mississ ip~i
(Cify) ~State)
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and 1 resided at R04t~ S BOX 638 . Howevar I have cha~qed my dorniClk
(Street end Number) .
to and am and have been a bona fide resident of the State of Florida sinoe bth dey of
__~anuarY ' Y ,~9.St$.., end ~ reside at 1508 North 44th Street
(Street and Number)
FORT PIERCE, SAINT lUC1E COUNTY, RORIDA
and this statement is to be taken as my detlaration of citizenship, actual legal residente and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishme~t of emplcyment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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Bntering Brenda Fay Adauas in bth
grad~ ~ Jaoes $raie Adaa~s in 8th grade ~
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and Glenda Joyce Adams in Sth Grade ~
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8 QM 3~13 ~
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1 RIRTHER C~that I will oomply with all other requirements of a leyal resident of this State.
I FURTHER CERTIFY That 1 have no intention to return to my former domi4~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. f
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'1~4%~ ~'t:~~~~ ~
. (Name) Earnest Adans
(Address)
.~5worn to and subscribed before me this 8th day of J~V~Y , 19~.
' ROG~ tO1Tt~1i =
" ~ ~IERK CIRCUiT= COURT Notary Public
gy - D.C. My ~ommission expires
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~Te ~x~w1~d in duplieat~ and oriai~al Bl~d withu.~ Couet aed duplieat~ witb Tax Aa~~orJ
eoo"K1~~2~~ ;
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