HomeMy WebLinkAbout0007 Oecla~ation ot Domlciie a~d Citi:enship
.1f;;9~3~'?' -
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sj. lUC1E COUNTY, FLORIDA:
This is my decta~ation of Domicile and Citizenafiip in the Stats of Florida that I am fili~g this day in aooordanos and
in confo~miy with Chapte~ 222, Sectio~ 222.17, Florida Statutes.
I was formerly a legal ~esident of Falls Church _ Yirgini8
(City) ~aro~
and 1 resided at 3525 318de RL1II DTive . However I have changed my domidle
(Street and Number)
to and am and have been a bona fide residant of the State of Florida since l~th day of
J~y ~q 68 9~ Generalp ~kiFg~ Ft Pierce B?vd
, , and I reside at ~Rk
~ (Street and Number)
FORT PIERCE, SAINT LUGIE COUNTY, RORIDA
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 fatts, such as sale of p~operty or business, or ~elinquishment of employment -
at former domicile, removal of family to new domicile, purchase of home, ett.)
~ Building a home at Rt 2 Box 3309 `
F~lEO AND RECORDED"
~ ST. LUCIE CQ~NTY, FLA,
Eatablishing residence ~F CORn +iFR~Fl~~
. ~se ~s~
AU6 5 PN I :03
~;OGf~ ?OITR~S
: CLERK CIRCUfT CO RT
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~ •
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I FURTHER G'ERTIFY that I will comply with all other reqyirements of a leya) resident of thia State. _
1 FURTHER CERTIFY that I have no intention to retu~n to my former e, and I intend to remain in FORT
PIERCE, SAIFT LUCIE COUNTY, FLORIDA, permanently.
, '
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= J . yJ~;'. i~,~0 ~ - a~r1C~
'F`' vi', ~1 r'~`. :
~ , ~ : _ _ , paul C . Holden
: :r y~ t=ti .
~1?,' ~..r-'`, , , , f~ ~ y~' , (Address)
6 `~y'~E±~ • .
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U~ ~ ~•••GQ'~~<<.- . E ,
,
_ , ~q 68 ~
.~~~~wOrn to and subscribed before me this 5th ~y ALi~iSt .
~
1
F.
ROGER POITRAS
CIRCUIT tiRT Notary Public
ac~.G ~
gy D.C. My Commission expi es
(To b~ ~c~evhd in duplicat~ and ori~nal fil~d with CIKIc Ciradt Coue~, and dupliu» whh Tax Ass~aor.)
: d0oK1.~i Pi1CE
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