HomeMy WebLinkAbout0988 ~ .l'70a14
Oeclaration ot Don~icil• and Citiz~nship
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TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE COUNTY, FIORIDA:
This is my declarotion of ~omicile and Citizen=hip in ths State of Florida that 1 am filin~ this day in saoo~danoe ~nd
in aonformiy with Chapter 222, Sectio~ 222.17, Flaida Statutes.
i wai ~merly a le~al resident of pennsville 1H. J.
(~iy) (Sta»)
ilb Churchtown Road
and 1 rosided at . How~vK I hsve thanqed my domidle
(Street and Number)
ro and am and hsve been a bona fide ~esident of the State of Florida sinoe June 1? ~y ~
68 Rout e 4, Box 429
, 19 , and I roside at
(Streef and Number)
FORT rl~, SAINT LUCiE COUNTY, ROR~A
and this statement is to be taken as my detlarotion of citize~ship, actual legal residenoe and domicile in the State of Horida.
pnsert here any pe~tinent facts, such as sale of property or business, or relinquishment of employment
st former domicile, removal of family to new domicile, purchsse of Fwme, etc.)
placing chi~dren in school
,
lyary [atheryn Tusseq FILED AND RECORDEO
ST. ~UCIE COUNTY. FLA.
Elizabeth .Tane McGorry RECORO VERIFIEO
v-~,~
'~8 A1Ir 2 8 PM I: 0 9 ~
1`70Ui4
RO ~CR ~OITRAS
~ CLERK CIRCUIT COURT
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i RIRTHER GERTIFY that I w111 aomply with alt other requiremsnb of a lepal resident of this State.
I FURYHER CERTIFY that I have no intention to retum to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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. ~ : (Name) Beatrice McGorry
- . . `f: -
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~ - ' ~ (f lddress)
~ - •k`~:~`r
i-1 28th Au u st 68
S~4iiofn to and subsuibad before me this day of , 19 .
Roc~e romus :
~1ER1( CIRCUR ' , Ntotary Public
By D.C. My Commission expires
(Te b~ ~aM~d ie dvplfcat~ and ai~ieal Al~d wi11~ C{~ek pra~it Covh, and duplicah wNh T~c Aaa~or.)
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