HomeMy WebLinkAbout1370 D~ciaration ot Domicil~ ~tnd Citi:~nship
TO THE STATE AND COUNTY TAX ~w~SESSOR, ~~~r~i.lEj'
Si. LlIC1E COUNTY, FLORIDA:
This is my declsntion of Oomici(e a~d Citizenship in ths State of Norida th~t I am fllinq this day in aooordana a~d
in oonformity with Chapter 222. Section 222.17, Floride Statut~s.
Fewton Alaba~a
I was formsrly a IeQal rosident of
(C~h) t5tsh)
and 1 rosidsd at 8t . 1 . However 1 have chan~ec! my domWl~
(Stre~t and Number) r
Aovember 10
ro and am and hsve been a bo~a fide r~ident of the State of Flcrida sinee day of
,~9.~2~, and I ~eside at 513 Tumbli~ug-K111~g Road
(Street and Number).
l~ORT M~ SA~INT LUCIE COUNTY, RORIDA
and this statement is ro be taken ss my dedaration of citizenahip, actual legal residenoe a~d domiale in fhe State of Florida.
(Insert. here any pertinent facts, such as sale of property or businsss, or ~elinquishment of employmant
at former domicile, romoval of family to new domicile, purchase of home, etc.)
Placing child in public echool - Billy
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1 FURTHER ~fRTiFY that 1 will compiy with all other nquirornsnts of a lepal rosident of this Staro.
I FURTHER CERTIFY thst I have no intention to retum to my former domitile, and 1 intend to remain in FORT
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PIERCE, SAINT U1~IE COUNTY, FLORIDA, permanently. ~
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. ~ ~ 18th 8o~eaber 68 ~
b and wbsaibsd befor~ me this dey of 19 .
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CWK~CIRCtMT COIIRT Notary Public
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D.C. My Commission ~xpir~s
R~ i~ ~oasw~i 1~ ~ awr ~ei~ Ai~ wi1i~ G«k cMswit C~w~. aw~ ~licaN wili~ Tax A«.~ra
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