HomeMy WebLinkAbout0999 Declaratio~ ot Domicile and Citisenship 164024
TO THE STATE AND COUNTY TAX ASSESSOR, :
,
1
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in acco~dance and
~n confo~miy with Chapter 222, Section 222.17, Florida Statutes.
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1 was forme~ly a legal resident of _~BV~VILLB _ N. J. _
(City) (State)
and 1~es~ded at _ 304 Cherry Quay Rd. _ ~WeV~ ~ have changed my domitjle
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since 30th _ day of
68 1505 S. 29th St ~
- J8IlUirq_ _ ~ ~9 and 1 reside at ~ `
(Street and Number)
FART PIERCE, SAIN? LUCIE COUNTY, FLORIDA
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 perti~ent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to ~ew domicile, purchase of home, etc.)
. ~
ENTBRING CHILD IN PUBLIC SCH00~
FILED AND RECOROED'
ST. LUCIE COUNTY. FLA.
ALLBN N. TAYIAR (6 years) R~CORD VER~F~EO
~ 1~~4 ;
68 fE8 I PM 35
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HO;=ER ~ OITR~$
CLERK CIRCUIT COURT
1 FURTHER CERTlFY that I wil) comply with all other requirements of a legal resident of this State.
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, FIORIDA, permanently.
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• (Name)
- . . ~I'~'=~ Q,:u - Bva 1?~lae Taylor '
_ - = - . ,
~ ' :;y i ~j' "
~ „ . ---T- ~ < (Address)
.
. . , ^ ~ y ''C~~ ; •
_
~ l•j ± ~ lst February 68
~ Sworn to and suburibed before me this day of . 19 • ~
~
~ ROGER POIT
~ CLFRK lRCUI URT Notary Public
~
gy D.C. My Commission expires
{ (To be sxecuted in duplicat~ and ori~inal ~ilsd with Gerk Grcuit Court, and dupliwh with Tax Ass~s~or.)
~ BOOK 17O PACE 9~71/
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