HomeMy WebLinkAbout0749 D~cla~ation ct Do~nicile and Citis~nship 1~,~~s
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
Thi: is my declantion of Domicile and Citizsnship in ths State of Horida that I am filin~ this dsy in aooo~dana and
in conformiy with Chapter 222, Sattion 222.17, Florida Statutes.
I was formsrly a legal resident of ~el1S Maine
(City) (Stah)
and 1 rosidsd at Box 101 Moody . Howevsr I hsve charpsd my domkile
(Street and Number)
ro and am and have been a bona•fids resident of the Stste of Florida sinoe 25th day of
October , t9_Q.g_, and ~ reside at 181 Seranata Court
(Street and Number)
l~ORT MERCE, SAINT LUCIE COUNTY, ROR~A
and this statement is to be taken as my declarotion of citizenship, actual legal residenoe and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of propery or business, or relinqui~ment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishigg residence FII.EO AND
ST. LUCIE CpUN
TY FL4.
~~C.r~~~ VF~lF1EC
Bntering Scott in the 4th 7rade ~E8 ~ 't~18a~
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CLf RK IRCUIT ~
URT
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I RIRTHER L:~1tTIFY that I wlll oomply with all other requirem~nb of a leqal reside~t af thls State.
I FURTHER CERTIFY that I have no intention to retum to my former domiGle, a~d f intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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Nove~ber 6g
-,'''';~C r~~4?•'. ,~'wbstribed before me this lst day of , 19
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CIRWR COURT Notary Public ~
~ D.C. My Gommiss'wn expires
(Te b~ ~x~wl~d i~ ~iuN and o~ioital fiNd witb CIMit Cie~vit Covh, aed d~plicah wHb Tax A~wora
- sooK 174 ~E ,746
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