HomeMy WebLinkAbout2986 1651295
Declaration ot Oomicile and Citizensltlp
TO THE STATE AND GOUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filing this day in acoordance and
in conformiry with Chapter 242, Sectio~ 222.17, Florida Statutes.
I was formerly a legal resident of ~~IISU _
~C;+y~ (State)
and I resided at -8t'
3_ However I have changed my domiule `
(Street and Number)
to and am and have_been a bona fide resident of the State of florida since 15th- day of
Juxis ,~9--, and I reside at 109 l~. 38th St. _
(Street and Numbe~)
fORT PIERCE, Sl11NT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of p~operty or business, or relinquishment of employment
t
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bx~r$aixG cHiI.~ IH PIIBLIC SCHOOZ
FILED AND RECORDED~
- ST. IUG~IE COUNTY. FLA.
- RF.COR^ V:~~~IED ~
STBYSB DOIIGLAS 80BI880B ~6 yre ) 169295
'68 AUG 2 PN 3:21
;~u~t~?: ~•01 i RaS
CLERK CIRCUIT COURT
I _
1 FURTHER ~ERTIFY that I will comply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFY ~hat I have no intention to return to my former domiCi~e, and I intend to remain in FORT
PIERCE, SAINT tUCIE COUNTY, FLORIDA, permanently. -
s~- -
(Nsme)
~ - ~3 _ 8. D. BOBIHSOl~
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- r-., : (Address)
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- ~ • ~ 2nd ~IIGIIBZ 68
Z :~v~tq,yn ~Q'antl;subscribed before me this day of 9 -
_ ~
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~
f t' ~~,1
C Cp~T Notary Public
T (
, gy D.C. My Commission expires
R~ b~ b~ d~pNc,a~s an~ «t~nal At.d wilb q..i~ u.arb snd ~+plkal~ wilh Tax Awwr.l
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