HomeMy WebLinkAbout0198 E
Declaration ot Domicile and Citizenship ±
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TO THE STATE AND COUNTY TAX ASSESSOR, 16~7V~~ ~
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Uomicile and ~itizenship in the State of Florida that I am filing this day in accordance and
in conformiry with Chapter 222, Section 222.17, Florida Statutes.
I was fo~me~ly a legal resident of E~-~_ Ha~tfOid _ ~n~•
~C;fy) (State)
and I resided at 93 CannOD ROad ~,,,,eV~ ~ have changed my domici~e
(Street and Numbe~) -
to and am a~d have been a bona fide resident of the State of Florida since _ Z8th r_ day of
December 67 381-1 So Indian River Drive
- . 19 and I reside at
(Street a~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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FILED AND RECORDED `
ST. LUCIE COUNTY, FLA. ~
$stablishing residence C~R~ V jRI~Ft~p #
3603 t
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~ '68 JA~! I 8 PM I: 5 8
CLERK CIRCUIT COURT
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1 FURTHER CERTIFY that I will comply with all other requirements of a(egal ~esident of this State.
1 FURTHER CERTIFY that 1 have no intention to return to my former domiu~e, and I intend to remain in FORT t
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PIERCE, SAINT LiICIE COUNTY, FLORIDA, permanently. ~
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~;~~-3 CO~~~``~., - (Name
~••G'' Leo G~ Neales
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` ` I • ~ ~ . i m % (Address)
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~ - , 18th January 68
, 19
'~iQr~rp ~td,~T~d3ubscribed before me this day of • '
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~ K CIRCUIT COURT Notary Public t
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gy _ D.C. My Commission expires ~
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(To b~ ~x~cuMd in dupliut~ and ori~inal fil~d with Cl~rk CircuK Court, and duplicat~ wHh Tax Asa~s~o?.)
a~K ~.70 198 ~ '
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