HomeMy WebLinkAbout1221 1'70~.81
D~claratb~ ot Domlcil~ and Citi:MShip
TO THE STATE AND COUNTY TAX ASSESSOR~ .
Sl. WCIE COUNTY. FIORICA: .
This i: my decluation of Domicile snd Citi~nship in th~ Stah of Flalda that I am fiiin~ this day in aooordana ~nd -
i~ cor?formity with C'haptK 222, S~ctio~ 2~2.17, Fiorida Statui~s.
~ w~ ~~~y ~ ~~t ~ Port Cheater Nrw Yorlc
t~ib) . tSt+~?
and ~ ro,jd.d at a4 Blmont Avenuc
(5trest ~nd Nu~)
to and em and have been a bons fide msldent of the State of Norida sinoe Julq 20 ~y ~
(SO• U. S~#tl)
, 19~$, and i roside at SmaliNOOd Aoartmen ts - Route 1
(5tnst snd Numbe~) .
lORT MQC~, SAINT LUCI! COtINTY, RORqA
and this statamsnt is to be takan as my declaration of atimnship, actual le~al residenos and domkile in ths St~te of Horida.
pri:ert hero any pertinent facts, such as aale of property or business, or ~elinqui~mMt of employmsnt
at formK domkils, romoval of family to new domicile, purchase of home, etc.)
Placing child in public schools and establishing residencq
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1 FURTl~R GHtTIFY that 1 will oomply wfth a!1 othsr ncwinrrwnh of a Ipal ~id~nt af this Stat~.
~ 1 FURTHER CERTIFY that 1 hsve no inteMion to ratum t~ my former domivle, and I iMend to remain in fORT
PICRCE, S~1yV~;txJC1E COUNTY, FLORIDA, pem~anentiy.
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- . - (N+ Marilyn Walton
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^swa~ a u+d wbarib.d b.foo. m. this Sth Septesber , 19 68.
~OOiR lORRAi
Cai~K CM~CINT Notary Pubik
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C. IM~? Cortrru~sion ~cpir~t ~
R. M.rai~i Mi ~li~.~. a~i ..~~i.r IiMi will~ a«k C~aM c.w1, ~ew wtll~ Tao~ A...M..a
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