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HomeMy WebLinkAbout0515 Declaratio~ ot Dornicile and Citizenship TO THE STATE AND COUNTY TAX ASSESSOR, . s Sl. WCIE C0IJNTY, FIORIDA: f ; This is my declaration of ~omicile and Citizenship in the State of Florida that 1 am filin9 thi: day in scoorda~a and in oonformity with Chapter 222, Section 222.17, Florida Statutes. Albany Georgia ; 1 was formerly a leyal resident of ~City) (Stato) i and 1 resided at 2013 Gail Avenue . Howavar I have chanyed my domitile (Street and Numbe~) to and am and have been a bona fide resident of the State of Flotida since 28th day of J~ly , t9 68 , and ~ reside at 21$ Garden Avenue (Street and Number) FORT PIERCE, SAINT LUCIE COUNTY, RORIDA and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Flotida. (Insert here any pertinent fads, such as safe of property or business, or relinquishment of employment at former domiule, removal of family to new domicile, purchase of home, etc.) : Bntering chiidren in school - Charlie D, Littieton, III (Chuck) ~ FILED AND RECORDEO ST. LUCIE COUNTY. FLA. R[:t'0~^ ~IFnt~~rD 16966~ ~ '68 AU6 16 ANt 10 : 32 ~ . ~:V:JL:f: i U~T1In~ • ~ CLERK CiRCUIT COURT } ; ; i ; ~ ~ ; ~ S ~j f 1 FURTHER CERTIFY that 1 will comply with all other requiremenn of a le~al'reaident of this State. I FURTHER CERTIFY that I have no intention to rotum to my former domitile, and I intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. , ~ . . , ~ (Name) Mrs. C. D. Litt oo ~Jt ~ ~ . . , • , ' "o•_fi- , ~ - ~ r.:: (AddfeSi) " ~ . • ; it ~ ~ • S_~yv'ti~ittar end subsuibed before me this 16 ~ day of Augu a t 9_~, . # ~ ROGER POlTRAS f CIERK CIRCUIT COURT Notary Publk gy .C. My Commission expires 4 . Qo b~ ~x~cw~d ia dvplicah aed ori~inal fil~d wilb q~rk Cira~it Co~~t, snd duplicat~ witb Tsx Ass~po~J F ~ ~~0~ . r~o. ~ s-+? _u . . . _ ~