HomeMy WebLinkAbout0007 Declaration ot Dort~icfle and Citizenship 163481
TO TNE STATE AND COUNTY TAX ASSESSOR, ~
Sl, IUCIE C~UNTY, F10RIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that ! am filing this dey in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legat resident of Pe~ Y~ ~8w YorY
(City) (Stets)
and I resided at 3~1 S I~ke R08d Hov„ever 1 have changed my domiUle
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Floride sinee ~th day of
3e~tember ,~9
~3, and 1 reside at 4 3tar Route Jenaen Beach,
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
a~d this statement is to be taken as my declaration of citizenship, actual legal residence and domitile in the State of Horida.
(Insert here any pertinant fads, such es sale of properfy or businass, or relinquishme~t of employment
at former domicile, removal of famity to new domicile, purchase of home, etc.)
FILEO AND RECOROED`^,
ST. LUCIE COUNTY. FLA.
--~tsblish3ng residence RECORD `lERiF1ED ~
- 163481 !
'68 JAN I S AMI Ip : 07 }
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{;U~rR r OITR%+S ~
CLERK CIRCUlT COUR7
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I FURTHER CERTIFY that t wilt oomply with al~ other requirements of a legal resident of this Stata. #
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1 FU[tTH~R CERTIFY that 1 have no intention to return to my former domirjle, and I intend to remain in FORT ~
PIERCEt: ,BI~IT ~~~'IE~,~011NTY, FLORIDA, permanently. ~
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(Name) ~
~ ~ = Hsllett Hunter
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Sworn to and suburibed before me this 15th day of Jan'~ry ~q 68 ,
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ROGER FOITR/1S ~
K CIRCUIT COURT Notary Public !
~Y `j'~~ ~ D.C. My Commission expires
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Ro b~ ~x~cuhd in duplieab snd ori~inal filed with Cl~rfc Circuit Goue~, a~d duplicat~ with Tax Ass~stor.)
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