HomeMy WebLinkAbout0400 .~s~ss~ ~
Declarat~on ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FIORIDA;
This is my declaration of Domicile and Citizenship in the State of Florida that i am filiny this day in ac.cordancs and
oonformity with Chapter 222, Section 22Z.17, Florida Statutes. ,
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1 was formerly a legal resident of New York Ci~j? Mew vork
(C~h) (State)
and I ~esided at 3603 Avenue R. . However 1 hsve chanyed my domi4le
(Street and Numbe~) '
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to and am and have been a bona fide resident of the State of Florida since . day of ~
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_ , 19 , and 1 ~eside at ~
(Street and Number) ~
a
e
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA j
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and this statement is to be taken as my declaration of citizenship, actual lega{ residence and domicile in the State of Horida. ~
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(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of emptoyment ~
at former domicile, ~emoval of family to new domicile, purchase of home, etc.) ~
He hae been in asrmany and 1e ~ ~
Department of Army ~ployee !
; ~ and wiahes to make ;
Fort Pierce, l~lorida hie legal reeidena~. ~
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He has owned property ia Fort Pieroe =or 6 yeare.
FILE~ AN~ ~P~~FtO~ D
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1 FURTHER CERTIFY that I will canply with all other requirements of a legal'resident of this State.
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~ (Name) ~efo Y. Zindroth ;
~ Diair~tenanoe D~~ision, Berlin Brigads ;
APO 09742 Bew Yorlc, 8ew York :
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~ (Address) ;
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~ Swaw-lpren~ ;ubsuibed before me this 1 j th day of at , 19_b$. :
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c + • ROGER ~OIT~ :
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,CLF1~K: ClRCUt~-~OURT Notary PuWic ~
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gy ~ D.C. My Commitsion expires
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~Te b~ ~x~irl+d ie daplicat~ snd orisie~al fil~d with CI~
0 R e~, and 'u» with Tax Assrswr.)
600~ FACE