HomeMy WebLinkAbout2840 ~ecla~ation ot ~omtcll• and Citisenshlp 1~~4
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TO THE STATE AND ~OUNTY TAX ASSESSOR, i
Sl. lUC1E COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the Stats of Fioride that 1 am filing this day in aaoordanoe and
in conformity with Chapte~ 222, Sectio~ 222.17, Florida Statutes. ~
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1 was formerly a(egal resident af Syracuae _ Few York r
(Ciy) (Sta») ~
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and I resided at _ ?O1 Al1eY1 St]Ceet However I hav~ chanqsd my domitile
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~ to and am and have been a bons fide resident of the Stat~ of Florids sinoe ~ 2~- _ day of j
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_ iuguat_ , ~q 67, and i reside at 409 _Tranau~la Ave. s Port St. Lucie ~
(Street snd Numbef)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citize~ship, adual legal residente end domitile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
st former domicile, removal of family to new do~ricile, purthsse of home, ett.)
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Establishing residence ~
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FILEO A~~D RECORDED
• ST. LUCIE COUNTY. FL.A.
R.E`.C~ORA~AK~lFtED
a,)a~•s
'68 J~N~ 8 : 5 9
II , ~~,J` ~~lf'~ S~ ,
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CLERK CIRCUIT COURT ;
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1 FURTHER CERTIFY that 1 will oomply with all other requirements of a te~al resident of this State. i
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I FURTHER CERTIFY that 1 have no intention to retum to my former domitile, and 1 intend to remain in FORT ;
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PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ;
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(Na )
Donald J. Porter- ~F
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'~iivorr~i~oy er~¢~bu~scribed before me this gt}~ day of _ ~.en ~n rv -G,;~--
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r . : ' ~ Notary Public ~
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8y " D.C. My Commission expires ~
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(Te b~ ~c~cut~d i" duplicat~ and ori~inal fil~d with C~k CircvH Cou~t, and duplicah with Tax Atws~or.) ~
a~K169 ~28~i - ~
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