HomeMy WebLinkAbout2748 Declaration ot Domicile and Citizenship 1651~3 ,
TO THE STATE AND COUNTY TAX ASSESSOR,
I
Sl. LUCIE COUNTY, FLORIDA: ~
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in confo~mity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of _-~____EQ~II~. Pleasant _1~Iel~t_~j.~~~~---
(C;ty) (State)
and 1 resided at _____$22 Briarcliff Avenue However 1 have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~th _ day of
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_A'1~I~h.- , 19S?$_, and I ~eside at 1 11 Mlani COUrt
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA ;
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicil~ in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment '
at former domicile, ~emoval of family to new domicile, purchase of home, etc.) ~
Bnter 2 children in school
Ross Donald Taylor in Sth grade
Donna Lynn Taylor in 4th grade
AND RECOY ~ '
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FILE~ lC rnUt_ .
ST. ~-'J
C_ i t- .
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; 165 ~ ~ ~ ; 26
~ '69 t~":-F, 14 At~l
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:.i! .•~-t` ` COURT ~
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: 1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiG~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. -
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(Name)~s= ss H. Taylor s
4
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~ ~~~q Marie Prances Ta or
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t~1Jb'r~'fo~~+rtd.subscribed before me this 14th day of }larCh , , 1q~t$_ '
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~ _ _~:.ROOER P.~ITgAS ~
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CLERK CIROU'T COUR Notary Public i
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~ 8y = D.C. My Commission expires
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~ (To b~ executad in dupliut~ and oripinal ~i e~ with Ci uit CouN, and dupliut~ wifh Tax Asseswr.)
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