HomeMy WebLinkAbout2382 Declaration ot Do~nicile and Citizenship
164953
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORI~A:
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This is my declaration of Domicile and Citizenship in the State of Florida that i am filing this day in acoordance and
in conformiy with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ChiC8g0 Ridge _ _ I~1~ .
(Ciy) (State)
10349 I~loroandy
and 1 resided at However 1 have changed my domivle
(Street and Number) ~
to and am and have beer. a bona fide resident of the State of Florida since - 10th day ot
_A~ril__ , ~96?_, and I ~eside at 150 NBiSDjB Av!
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal reside~ce and domicile in the State of Ho:ida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domitile, purchase of home, etc.)
Bstablishing residence • S~r ~C~~
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. ~`n.,.., .llf;'ry FL4~
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1 FURTHER CERTIFY that I will comply with al) other requirements of a(egal 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, SAIN7; LUCIE COUNTY, FLORIDA, permanently.
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`C,- . , - :ai:s'' (Name)
- • ' QJ Clarence T, Rydell
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..Sworn to and subscribed before me this Sth day of February ~ 19 68
ROGER POITRAS
K CIRCUIT OURT Notary Public
By ~`'`'1`'~'~ D.C. My Commission expires
(To be ~xecut~d in dupliute snd ori~inal filsd witl~ Gerfc Greuif Court, and duplicat~ with Tax Ass~ssor.)
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