HomeMy WebLinkAbout1827 ~eclaration ot Domicile and Citizenship js~~il0
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declarotion of Domicile and Citizenship in the State of Florida that 1 am filing this day in acco~dante and
in conformity with Chapter 222, Section 222.17, Florida Statutes. -
CHICAGO ILL.
I was formerly a legal resident of - -
(Ciy) (State)
2148 W. 21st St.
and I resided at _ However 1 have changed my domitile
(St~eet and Number)
to and am and have been a bona fide resident of the State of Florida since - 1Sth _ day of
September ,~q 6? , a~ i reside at 3109 Boston Ave.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my decla~ation of citizenship. actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of p~opefty or business, or relinquishment of employment
at forme~ domicile, ~emoval of family to new domicile, purchase of home, etc.)
FILED AND RECORDED
BNTBRING ONE CHILD IN PUBLIC SCHOOL ST. LUCIE COUNTY. FLA.
~ ^ p r t: r; ~ =
JAMES DARRBLL QUBBN c 6 yrs) 166510
'68 APR Z 9 AM 10 : I 3
~S~J N r O: I R..S
CLERK CIRCUIT COURT
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I FURTHER C~RTIFY 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 domi~;le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~~~,~1t1f ...r~j'~,, (Name)
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c'~ ~ ~ APPY QUBEN
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- r''•~n}ibir~~~~'`subscribed before me this 29th day of ~RIL 1968
~ .:ti:.'.~t~~~~ .
OGER PO
C OURT Notary Publit
~
gy D.C. My Commission expires
(To b~ ~x~cut~d ~ duplicsh snd orisina! fil~d with C{~ric Ciraril Court, and dupliuh with Tax Ass~s~or.)
~ooK171 ~~1825
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