HomeMy WebLinkAbout0269 , Drclaration ot Do~icil~ ar~d Cltiz~~ship
~-`?''1526
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. Lt1CIE COUNTY. FLORIDA:
Thit is my declaration of Domidls and Cti~sr?ship in the Stats of Florida that 1 am filinq this day 1n acoordana ~nd
in conformiiy with CMpt~~ 222, S~tfio~ 22Z.17, Florc~s Stafutes. ~
f
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i was ~ormsrly a te~al rosidenf of
ity)
end 1 rotid~d at r~~~~ . How~vK 1 h~ve d~snqsd m~? domkile
(Street a~d Number)
ro and sm snd have been a bona fide rosident of the State of Florida sinae ~Y ~
, 19~, and 1 roside at ~ a''
snd Number)
fORT pll~C~, SAINT tUCI~ COUNTY. lLORIDA
snd thi: :tatement is to be taken as my deda~ation of citizenship, actual legal ~esidenos and domicile in the State of Horida.
pnsert here any perti~ent fads, such as sale of property or business, or relinquishment of emptoyment
at fiormer domicile, rsrrwvai of family ro new domicile, purchase of home, etc.)
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FILED AND RECORDED ~
~ ST. LUCIE COUt~TY. FLA: .
~ RE~COR~ VERIFIED
17'1526
'68 OCT 2 2 PM Z 2
~~a~~
ROGEit i'OITRAS }
OLERK CIRCUIT COURT~
1 FURTHER CHtTIFY that 1 will oomply with all other roquinm~it of a lepal rosldsrM af this Stats.
t FURTHHf CERTIFY that f have no intention to retum to my former domi~ile, and 1 intend to remain in FORT
PIERCE. SAiNT LUCtE COUNTY, ~FLORIDA, permanentiy.
(NafYl~) ~YVoNK.
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-'~'~?S4vjoQf~a ~+d~.s~scribed before me this °2'~ day of m , 19
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~rt Notary Publk
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D.C. My Commissbn e~piros
tTe b~ ~oaaM~d M d~pMeaN and o~i~inai Al~d wiN~ Cl~rlc Ci~rM Co~re~, snd dvplieat~ wiN~ Tax As~ora
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