HomeMy WebLinkAbout1886 1p`tV~+~V
Declaration ot Domicile and Citisenship
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TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day i~ atcordance and ~
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in confo~miry with Chapter 222, Section 222.17, Florida Statutes. ~
I was formerly a legal resident of ~lI$lIIl~ B~~~~-- Vii$inia •
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~C~ty~ (State) ~
` and 1 resided at 4~~~_ V~~g~~~ B!?BCIt BlVd. However I have thanged my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida sinte ______1+.4~- - day of
Au~ust ~9
67 , and I reside at 2023 AiYDOrt ROad LOt 145
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA wlliSpering CrleY
~illage
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of 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.)
_ Establish Residtncy ~
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aECOR~EO ~
fIl.EO AND ~V~lTY: FLA~,~~'+~ _
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1 FURTHER GERTIFY that 1 will comply with all other requirements of a(egal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my forme~ domicjle, and I intend to remain in FORT
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PIERCE, SAINT LUCtE COUNTY, FLORIDA, permanently. r
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(Name) ~na G. Hamilt0l~
~ (Address)
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..Swom to and s~~bscribed before me this 214t day of FehrLarv , 19~.fl_.
ltOGER POltR~S
~ CLERK CIft6U~t C RT Notary Public
, ~
gy D.C. My Commission expires
(To b~ exscu»d in dupliute and originsl filed with Clevk Grcuit Court, and duplicab with Tax Ass~ssor.)
~ ao~K170 P~E1881
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