HomeMy WebLinkAbout1217 Declaration ot Domicile and Citizenship 1s416'~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Flo~ida that I am filing this day in acoordance and
~n conformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
I was formerly a legal resident of CQ11ID8II ~a~ _
(~;y) (State)
and I resided at p• 0. _ DP~. 96S ~We~er I have changed my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ___~5th day of
bt1g119.t_ _ 19
6? , and I reside at 1705 South 8th 8trB@t
(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.
(Insert here any pe~tinent 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.)
Establishing residence F~~
EO qNp RECORpEDT
ST, LU~IE COVNTY,
RE~COi?p VfiR1FIFp~• ,
164i6~
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' C~ERK C?RCUIT COURT
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~ 1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my fo~mer domici~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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' . ~ C ' ~ ~ 'X Jr/ • ///-~-C~CLl~/
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~ ~ . , (Name)
~ _ - y , Batherine G. ldillar ( Huda~3~)
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Sworii't~'~~nd~subscribed before me this ?th day of Februarv 19~_.
~ ROGER POITRAS
CLERK CIRW COURT Notary Public
By ~`L'~`'~'u~ D.C. My Commission expires
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(To be execuhd in duplicate and original filed with Ci~rk Grcuit Court, and dupliuts with Tax llssessor.)
BaIK~~~ ~ACE~.213
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