HomeMy WebLinkAbout0792 Declaration ot Dorr~icile and Citlzenship ~'6~2
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TO THE STATE AND COUNTY TAX ASSESSOR, t
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51. LUCIE COUNTY, Fl.ORIDA; i
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This is my decia~ation of aomicite and Citizenship in the State of Florida that ! am filing this day in eccordance and ~
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~m m~formiy with Chapter 22~, Section 222.17, Florida Statutes.
I was formerly a tegal reside~t of _ FRfiDRICKSBURG _ IND.
(City) (State)
Rt. 1
and 1 resided at However I have changed my domicjle
(St~eet and Number)
to and am and have been a bona fide resident of the State of Florida since 15~___.____ day of ~
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Y_J_~~arY___~_ , i9
68 , and I reside a~ 2017 GolfvieM _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actuat legal residence and domic+le in the State ot Horida.
(Insert here 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.)
~ BNrHRING TWb CHILDRBN IN PUBLIC SCHOOIS
F~LEO AND RECORDED
- ST. LUCIE COUNTY. FLA.
, ~E CORO t~~R~FlED
BIILIB D. ROMiLEY (13 yrs) 1's~~~
'68 ~I::'~ 2 9 A~I ~ : 12
RONNIB L. ROWLBY (11 yra~ ~
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CLCRK CIRCUfT COURT `
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' t fURTHER CERTIFlf that I will oomply with all other requiremenh of a legal resident of this State. -
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~ I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
; PIERCE, SAINT LUCIE COUNTY, FLORIDA, permane~tly. '
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.~:~,~s:t~rrt;~~. = - • (Name) ~
i-- ..CD~~`'~, BIIZIE RONIIBY ~
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~7 :~~jdy~ i„y~r j~ .
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: 1.~ jy , .-+t C~ : S~ .~"r ' (
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; ~ f ~ : ~ • = 29th ~
~ ~ January 19 68
: $~w,c~rr~ tp ~ic+ ~'subxribed before me this day of , , ~
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:~H{~' POITRAS
~ GI UIT COURT
Notary Public
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BY . D.C. My Commission expires
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(To b~ ~x~cut~d in dupliute and oriyinal fil~d with Cl~rk Grwit Cou~f, •nd dupiiats with Tax Ass~s~or.)
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E d00K ~ 1 O PACE 7~
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