HomeMy WebLinkAbout0733 D~cla~ation o4~ Dr.:~tcila and Citis~nshlp
1'71824
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE ~OUNTY, FLORIOA:
This is my decla~ation\
f ~omicile and Citi=enship in the State of Florjds fhat I am filin~ this day in aaoordanos ~nd
in conformity with Chapter;Z22. Ssction 242.17, Florlda Statutes.
1 was formsrly a Is~a1 resident of Grundy Virginia
(Ciy) (Sta»)
and I resided at _ . However 1 hsve cha~psc! my domkile
(Street and Number)
b and am a~d have been a bona fide resident of the State of Florids sinoe 31st ' day of
October , ~q68 , a~ ~ 508 B So 32nd street
(Street and Number)
i
fORT SAINT LUCIE COUNTY, IRORIDA
and this statament is b be taken as my declaration of citi~enship, actua) legel residenoe and domicile in the State of Florids.
pnse~t he~e any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, ~amoval of family to new domicile, purchaae of home, etc.) ~
Establishing residence _fILEO ANO RECOROED
ST. LUCIE COUNTY. FLA.
RF:CpR~ VER(FIED
Bntering Victor in the Sth grade 1'7i824
'68 NOV I PN ! 2: 0~~
" Martha Sue in the 4th grade
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ROGER 'OITRA~
CLERK CIRCUIT COURT
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1 FURTHER CfRTIFY that I will aomply with all other requirements of a Ispsl rssicient of thi: State.
1 FURTHER CERTIFY that I have no intention to retum to my former domidle, and I intend to remain in FORT
PIERCE, SAlN~. ~ IE COUNTY, FLORIDA, permanently.
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: ~ , c: . ~ _ - Lydia Endicott
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Swom to and subscribed betore me this lst day of November - ~q , 68
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ROGER lOITRAS ~
CIRCUIT COURT Notary Pubiic ~
gy ~ D.C. My Commiuion expires
~ ~
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, Re b~ ~x~wbd ip d~ppcat~ and oei~inal Al~d wflh CM~Ic Ciewiif Cour~, and duplicab with Tax A~swrJ
` ~K174 p~ ?3U
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