HomeMy WebLinkAbout0675 - _ _ . _ _ ~
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~ Deciaratio~ of Oo~iaU~ aq~ q~lse~ :169'7`76
TO THE STATE AND COUNTY TAX AS.SESSOR. - ~ . ~
Sl. lUC1E GOUNTY, FlORiOA:
This is my decls~ation of Domicile and Gitizenihip in the Stat~ of Horid~ that I~m filin~ thi: day in aooordenoe and ~
' in oonformity with Chapter 222, Section 222.17, Fiorida Statutes. ~
I was forme~ly a legal rosident of JaCksOpville N. C.
(City) (State)
and 1 resided at ?9 Diane Drive , However 1 have chanqed my domic.ile
(Street and Number) _
to an~ am and have been a bona fide resident of the State of Florida since July 25 dsy of
, 19~t~, and I reside at 2017 C?o lf View CO U Tt ~
, (Street and Numbe~) .
FOR? PIERCE, SAINT tUC1E COUNTY, FLORIDA -
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of propery or busineu, or ~eli~quishment of employnlent
, at former domicile, removal of family to new domicile, purchase of home, etc.) y, 4~
.s.
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M1;
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Bntering Susan Lynette Batchelor in public school
FILEO AND RECOROEO
ST, I.UCIE COUNTY. FLA.
RECORD VERIFIED ~
'I - 169'7"?'6. . ~
~ At~ Z Pr~ ~I . 0 6 .
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~ rC~~~~~~ ~'OITR.•.S
~ ' CLERK CIRCUIT COURT
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I FURTHER CERTIFY that I will oomply with al) other requirements of a le9al'resident of this State.
I FJRTHER CERTIFY that I have no intention to retum to my former domicile, snd I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORI~A, permsnently. .
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• ' (tva~„e~ Geraldine Batchelor
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` t . ~ ~ (f?ddress) Albert Batche or,Jr
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S~Nor64p.and subscribed before me this ~th day of Au uSt ~q 68,
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~ ROGER POITRAS ~ `
CLERK CIRCUIT COURT Notary Public
gy - - - .C. My Commis:ion expires .a..~~~.wrp
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(To b~ executed in duplicat~ and ori~iaal fil~d witfi Cl~rk Cirevit Cowf, _ aed ~plieaN wlta At~Mw~,l
~ . ~~:a~173 ~~:667 ~ Y~i~; . .
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