HomeMy WebLinkAbout1181 Declaration ot Domicile and Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the Sta~e of Florida that I am filing this day in acco~dance and
~n conformify with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of .___LSl1rBL_ -~i ~~i "~j ~~i -
(Ciy) (State)
and I resided at __$pLLtB However 1 have changed my domitile
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since 29#,h - day of
J8II1x8~ 19~8, and I reside at --B.aLi++.~-~'~ Rn~r A~
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(Street and Number)
FORT PIERCE, SAINT 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.
(tnsert 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.)
Abbey
Entering Anthony Z.~in the third grade
and William Earl/~nb~~e second grade
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of school. .
FIlEO AND REC~RDEp •
ST, LUCIE COUNTY,
f ^`.~~fi~ V`'RIF? F~A~ ~
~ 16413~ Fo
; '68 FEB s ,q~y ~ .
~ . 53
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= CIERK CIRCU~~ i RAg
< T COURT
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; 1 FURTHER CERTIFY that I will comply with al) other requirements of a legal resident of this State.
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~ 1 FURTHER CERTIFY that I have no intention to retum to my former domiule, and 1 intend to remain in FORT
9
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ (Name) ~8. Y8Y'vin Baggett
~ (Elizabeth)
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(Address)
- ~.•SWOrnvt~ and subsuibed before me this day of , 19 .
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~ ~ ~ . -ROGER' P'~iTR/ks
CLFRK CIRGIjtT C0. Notary Public
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Sy O.C. My Commission expires
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~f (To be executad in duplicate and originsl filed with Cteric Grcuit Courf, snd dupliute with Tax Assessor.)
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~ - B~K170 PACE1177
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