HomeMy WebLinkAbout2384 Declaratton ot oomicile and Citizenship ~64955
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Flo~ida shat 1 am filing this day in accordante and
in conformify with Chapter 222. Secti~n 222.17, Florida Statutes.
I was formerly a legal resident of -_$81l.~_ ~ _ Indiana _
~C;~y) (State)
and 1 resided at - R~u~~_~ _ However I have changed my domiti~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ____l.gt-_ - _ day of
-__~_ebruaLy______ ,~9~~., and I reside at 345 x Dame Road
(Street and Number)
FORT PIERCE, SAtNT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, act~al legal residence and domicile in ihe State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinqui~hment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering Roger Lee Napier in lst grade
FILEO AND RECORDED~
ST. LUCtE GOU~~~TY. FLA.
I 164955
'66 1~~"4 6~M 9: I 2 ~~i
. s, - . r;~KS
C~L'RK CiRCU1T COURT
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of ihis 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, FLORIDA, permanently.
~ e
(Na e) ~rgie Hurst~ts~icsu
(Mrs. Tony Hurst)
• (Address)
~ Sworn to and subscribed before me this ~h day of March , 19 68.
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',tj' Notary Public
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g ' ~ D.C. My Commission expires
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~•('?o? bi~iz4cobd in duplicat~ and ori~inal filed with Cl~rk Grcuit Court, snd dupliut~ witl~ Tax Assas~or.)
d~~K ~r~0 PAGt ~3`74
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