HomeMy WebLinkAbout0819 . 169881
D~aluatio~ ~ Do~ntaii~ ~and Citls~nslNp
TO THE STATE AND COUNTY TAX ASSESSOR,
sT. wc~e couHnr, aoRia~?:
Thi: ~s my d~clarstlon of Oomidle and ~ti~uhip in th~ Staro of Horida that 1 arn filinq this day in aooo~dano~ ~~d
in conformity with diaptK 2Z2. Sectio~ 222.17, Rorida Stahit~s.
~ wa: ~orm.riy a ~.qe~ rosidenr of Riversid~ Cslifornis
~ (City) (St~ta)
~ ~t 4330~ Vine Street ~ my
_ (stireft a~d NurnbK)
to and am snd haw been a bona fids rosident of th~ State of Horida sinoe .~une 11 ~y ~
, 19_~8__, and ~ rostde a~ 216 Southern Avenue
.
(5tre~t snd NumbK)
i~ORT l~CE. iA1NT WCIE GOUNTY, lLORIDA
and this statement is to bs taken as my dsda~ation of atirenship, actual lepal residenos and domkile in the Stat~ ot Horida.
qnsKt hero a~y pertinent fads, such as sale af propsrty or bu:ins:s, or relinquishmu~t of ~mploymK+t
at forrr~ domidle, mmoval of family to new domicile, purcl~as~ of hane, etc.)
Intent of attending college
FIL,ED ~.P~D RECORDED
$T, l.U~.IE COUNTY. FI.A.
~t#'~~~~I~I~,~FIEO
I~
~g ~uy as q : 3s
#:O:~f~:< ~O;TRAS
CLERK CIRCUlT COURT
i
~
I FURTHER G~tTiFY th~t I wiil aompiy with ail otMr nqui~is of a ipal nsident of th~ Stste.
I fURI'HER CERTIFY thst I have n~ intention to retum b my former domitile, and I intend to remain in FORT
PiERCE, SJ11NT 1t1C1E COUNTY, fLORIDA, p~rmsnentiy.
w fJ
: ~ ~,r~~~ C~,
, . . ~ (tvan,e) Dsvid Alan Hughes
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"`~~or~.b and wbstrib~d b~fori m~ thb ~ day of Auguit - 19 68.
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~OfiRAi .
~ Notary Pubik
a ( D C. My Carnniufon ncpira .
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