HomeMy WebLinkAbout2738 Declaration ot Domicile and ~Citizenship
165185
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE ~OUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
im m~formity with Chapte~ 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of -~tCd3~rt - ~"--~--R~~
~C~~y~ (State)
and 1 resided at R. #1 However 1 have changed my domiCi~e
(Sireet and Number)
to and am and have been a bona fide resident of the State of Florida since _-__N4Ytibet------~th---- day of
November _ , t9_b._2, and I reside ar an~ ~.,r+t~ z~~h et=_e*
^ (Street and Number)
FORT PiERCE, SAINT LUCIE COUNTY, RORIDA
a~d this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertine~t 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.)
Sstablish Rtsidency
FILEO AND RECORDEDi
ST. LUC~E~~ ~UNTY~n~A•`
~f - . : : ~ 165185
'68 Ml1RR 14 AM 10 : 26 ~
F~o~::~,. ~~u~?R~s
i CLERK CIRCUIT COURT
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I FURTHER CERTIFY that 1 will aomply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
CJ`~ ~
(Namepe1Cy J. Durden
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~
(Address)
Sworn to and subscribed before me this 14th day ot 1?~larch , 19-[!8.
^;~;;:,:t;a::; ;ff'~.~_
; Vv~ ~Y!R~(f~!~1 ~
; ~v~~l~ ;~~URT Notary Public
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~ D.C. My Commission expires
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~ t~.~~~ in duplicah and ori~inal fil~d with Cl~lc Grcvh Court, and duplicat~ with Tax Ass~sso?.) s
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