HomeMy WebLinkAbout0435 Declaration ot Domicile and Citizenship .j~~~s
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUGIE GOUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in tho State of Florida that 1 am filiny this day in acoordance and .
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~n conformiy with Chapter 222, Section 222.17, Florida Statutes.
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I was fo~merly a legal resident of Peans (~rOVe ~1ew Jeraev
(City) (Stats)
and 1 resided at ~ R~~d . However 1 have changed my domlG~e :
(Sfreet and Number) . '
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to and am and have been a bona fide resident of the State of Florida since 2'~1"d day of
St~rie , 19~, a~d 1 reside at 4Q~~ Oleander Avenue
~ (Street and Number)
FOR? PIERCE, SAIN? 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 facts, such as sale of property or business, or relinquishment of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
~ Establiah residenoe to enter ahild in achool.
FILED AND RECORDED?
ST. I.UCIE COUNTY. F~A.
~ECO~!; ~'~RIF~Fp
1~9615 • ~
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; 68 AU6 14 PN 2.03
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f ~!~u~~. t'D~TfZns
CLERK CIRCUIT COURT
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1 FURTHER CERTIFlf that 1 will oomply with all other requirements of a legal'resident of this State.
I FURTHER CERTIFY that I have no intention to return to my forme~ domitile, and 1 intend to remain in FORT
PIERCE, SAINT.LUCIE COUNN, FLORIDA, permanently.
~t~ t~ . ~.i, t
~N ) Kra. John J. Browr~
(HattiR)
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~ , (Address)
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SWbrqyt~~.,~t~b~"ribs~•l~efore me thi: 14th day of A1~KLi9t 19 68 , i
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~ - {~~.C ' ~j~: . Notsry Publit 4
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gy O.C. My Commission ucpires
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(To b~ ~x~w»d in dvplicat~ and original til~d wifh Ctaeic Cirwit CarK, and dupliut~ with ?ax Ass~ssora
~i73 ~ 432
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