HomeMy WebLinkAbout0315 Declaratio~ ot Domicile and Citize~ship -~65602
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORiDA:
This is my declaration of Domicile and Citizenship in the State af Florida thst 1 am filing this day in accordance and
in conformity with Chapter 222, Section 242.17, Florida Statutes.
I was formerly a legal res~deni of - Delanco New Jersey
~C;ty~ (Staro)
and 1 resided at - 22~ Maplt Ave.~ However 1 have changed my domiG~e
(Street and Number) F
to a~d am and have been a bona fide sssident of the State of Florida since - 1Sth day of
October ,~9bZ, and I reside a? 2884 Treasure Island Road
(st~e~roi`~ NS~t ~~uc ie
FORT PIERCE, SAINT IUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual lega) residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, o~ relinquishment of employment
at former domicile, removal of family to~ new domicile, purchase of home, etc.)
Establishing residence
FIlEO AND RECORD~p?
ST. LUCIE COUNTY
FIA. ~
~`'~n~'~~I n ~ rc
~5~~2
_ '68 MAR 21 PM t2: 22
' =:oi;~_~ ~ OrTR:.s
. CLERK CIRCUIT COURT
~
~
~
F
I RJRTHER CERTIFY that 1 wil) 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 domicjle, and 1 intend to remain in fORT `
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
s
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: J~t `c~'~~ (Na :
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_ ~ - _ : ~ , Theodore G. Rapp ~
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,J~~ ' _ _ - ; ~ ' (Address)
_ ~•,f~~ ~ U ~~t C'~•e,
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Sworn to and subscribed before me this 27tb day of ~rCh , ~q 68
R ER POITRAS
CtRCU1T URT Notary Public ~
~.~..~.c.Z-- ~1~ ~
g D.C. My Comm~ssion expires
(To b~ uacuted in duplicaN and oriqinal ~iled wHfi Cl~rlc qrwit Cou~, and duplica» with Tax As~ssor.)
sooK 17~ PAGE 315
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