HomeMy WebLinkAbout0555 Declaration ot Domicfle a~d Citisenshlp j63'745 '
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, fIORIDA:
This is my decla~ation of Domicile a~d Cititenship in the State of Ftorida that I am filing this dsy in aooo~dance and
in conformiy with Chapter 222, Section 22217, Florida Statutes.
I was formerly a lega) res~dent of Tazewe2l v~r~iaia
K~ry) ~ (Stste)
and 1 resided at ~ ROUte +14f2 However I have changed my domic3le
(St~eet and Number)
to and am and have been a bona fide resident of the State of Floride since 6th dsy of
--~.BTlli~jt , 19~g., and I re:ide at Mi11u#e I~id Grnvec~rA~~. ?v~~
(Street and Number) B7Ct.
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA y
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and this statement is to be taken as my declaration ~f citizenship, actuel legal reaidence end domicile in the Staro of Horida. ~
(Insert f~ere any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Place Children in School
Charles Lee Horn yrs.
FILEO AND RECOROED'
ST, I.UCIE COUNTY, FLA:
~?C.CO~~ `i~RIF1ED
-163'745 '
'68 JAN 2 3 AM 3: 4 0 ~
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CIERK CIRCUl7 COURT
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I FURTHER CH2TIFY thaf 1 will aomply with all other requirements of a(eqal resident of this Stafe.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
P(ERCE, SAINT LUCIE COUNTY, FtORiDA, permanently.
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(Name) Bonnie Ruth Horn ~
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(Address)
Sworn to and subsuibed before me this 23rd day of - JanUBly 19~_
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ROGER POITRAS ~ J.GL ~ , '
CIRCUIT tJRT " : ; . ( : O • _
c~ : . ; c~ : Notary Public
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8y b.E; My Commission expires
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Ro b~ ~x~cut~d in duplluN and'~ . with CIKic Grcuif Cou~t, and dupliut~ with Tax Ats~or.)
eooK 170 P~~ 553 ~
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