HomeMy WebLinkAbout0999 Declaratlon ot Oornicile and Cttizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is m~; d~l~ration of Uomicile and Citi=enship in the State of Florida that I am filing ihis day in acaordance and
~n conformiry with Chapter 222, Section 222.17, Florida Statutes. E
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I was formerly a legal resident of Suitland _ v*n~ A~ '
(City) (Staro) '
and I resided at - 3B15 Swann Rnac~ A~t t n't . However t have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since -$t~L_ day of
April 19 b8and I ~eside at 23 Coa~;na Avenue
~ (Street and Number) ~
FORT PIERCE, SAINT LUCIE COUNTY, r~Ow~w Lakewood ParY ?
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Horida. ~
(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of employment ~
at former domicile, remova) of family to ~ew domicile, purchase of home, etc.) ~
Bntering in achool
Michael Mfayne Koontz in Sth grade
Linda Sue Koontz in 4th Grade
Mark William Koontz in 2nd Grade FILED AND RECORDEO~
ST. LUCIE COUNTY. FLA:
~?E C~!R:? VERIF!FD
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'68 APR 9 A!! I I: 53 '
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' fi0;~i:R r OITR~S
' = CLERK CIRCUIT COURT
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~ I FURTHER CERTIFY that 1 will comply with all other raquirements of a(e~al resident of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domiale, and I intend to remain in FORT
PIERCE, SAINT LUC'.IE COUNTY, FLORIDA, permanently.
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~ (Na Leonard aqne Yoontz
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~ (Address) :
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~ ,`~;;,SriliiQsn~t~~~ubsuibed before me this 9th day of -~t~ril , 19~1.8_.
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' CLi~IC GRCUf~' ~BRT Notary Public
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gy ' N•~ ~ D.C. My Commission expiros
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(To b~ ~x~euhd in duplieat~ snd ori~inal fil~d wilh Clerk Cirarit Coue~, and dupllest~ with Tax A~or.)
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