HomeMy WebLinkAbout0494 Oeclaration ot Domictle and Citisenshi~
1657'12
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in t~~e State of Florida that 1 am filing this day in aaordanoe and
i~ conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of Hoboktu Nerr ~rseT
(C;ty) (State)
1129 Gordon Street
and 1 resided at _ However I have chan~ed my domidle
(Street and Number)
to a~d am a~d have been a bona fide resident of the State of Florida since 2Ad day of
J~~arY_ , 19
68 , and I reside at 33~ 8 Orangp ASe.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, ~LORIDA
and this statement is to be taken as my declarotion of citizenship, attual legal residence and domicile in the Stata of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, remova) of family to new damicile, purchase of home, etc.)
Bstablishing residence
,
FILED AND RECORDED'
ST. LUCI~ COUNT.Y, F~A.
~nr~~
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'6e APR ~ ~ss~12
j ~M 10 : SS
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':U::~i? :'OITR.~S
~ ~~E~~ CIRCUtT COURT
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1 FURTHER ~HtTIFY that I wil) oomply with all other requirements of a leyal resident of this 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.
. ,
;i;~ii~rr,:r:; . - : " ~
~ : i p'"'~• 'tl' M ~ '
, G.,~'~,; - _ ame
. John H. Buchannan
~ _ . - . + , ~ '
~ - , J V . ~ ~ ~ . ~ - st e~ (Address)
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'~~~`~~n'SnRar~.end iubsuibed before me this lst day of Apiil 19 68
. ~
~ ROGER POITRAS j
CIRCUIT COURT Notary Public €
3
By ~ D.C. My Commission expires
(To b~ ~xecuhd in duplicat~ and ori~inal fil~d wkh Cl~~lc Circuk Cou~f, and duplfc~t~ wi11~ Tax Aa~or.)
800K 171 ~~E 494
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