HomeMy WebLinkAbout0436 Declaration ot Domicile and Citisenship -~656~'0
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile ar.~ ~'~`~~enship in the State of Florida that 1 am filing this day in accordance and
in conformity with Chapte~ 222, Section 222.17, Florida Statutes.
I was fo~merly a lega! rPSident of _ C~L~ -
~C;~y~ (State)
and 1 ~esided at Rt. 3_ ~ ~ However I have changed my domiCi~e
(Street and Number)
to and am and have been a bo~a fide resident of the State of Florida since 1St day of
Junc , 196? , and I reside at 920 Georgia Ave.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my d ration of citizenship, actual lega) residence and domicile in the State of Ho~ida.
(Insert here any pertinent facts, s J, as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
P I LIIv G FOR HOI~lESrBAD PURPOSBS
-~656'70
FILED AND RECOROEO'
ST. LUCIE COUNTY. FLA.
f; ~~,~.^n
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; '68 P~;,R 2 9 P~t I: I 6
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.tti•.c-,. .~~C~1 ~ N:.S
Cl.ERK CIRCUIT COURT
I FURTHER CERTIFY that 1 wil) oomply witfi all other requiremanri of a(egal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
.
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- . 1~;;:~;:iz::,.:; JOSIAH P. NENTr(~1
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J ::;~o~?;:'~ ` . (Address)
_ ~ • ~ _
- ~ ~ - ~ = 29th 1HARCH 68
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: ~ SvJorr~.to;
aqd=subscribed before me this day of 19 -
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~'~~C RCUIT C URT Notary Public .
gy D.C. My Commission expires
(To b~ ucecut~d in duplieat~ and oripinal filed with C{~rk Circuit Couet, and dupliat~ vrith Tax Ass~stor.)
So~K 171 ~c~ 4~
N.o. 13 _ i . w - ~ - - -
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