HomeMy WebLinkAbout2081 Declaration ot Dorr~icile and Citiz~nship ~~30 ~
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TO THE STATE ANO COUNTY TAX ASSESSOR,
Si. lUC1E COUNTY, FIORIDA:
This is my declaration of Domicile and Gitisenship in ths State of Flarida that 1 am filinq thi• day in aooordanoe and
in oonformlty with Chapter 222. Section 222.17, Florida Statutes.
I was formerly a leqal res~dent of Con c o rd V i r g i n i a
(City) ~ (Stah)
and 1 rosidsd at p•O.HOx 58 . However 1 have charpsd my domkile
(Sneet and Numbsr)
to and am and have been a bona fide resident of the Stste of Florida sinoe 3rd day of
December 68 2109 North 41st
, 19 , and I roside at
(Street and Number)
FORT M~CE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the State of Florida.
pnaert here any pe~tinent facta, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence
8ntering Donna Steppe in 6th ~rade RILED AND RECOR~ED~
ST, IUCIE COUNTF1~pLA.
RF~~~YF,~
o~i
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'68 DEC y PN 12:~25
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i RO R POITRAS
CLERK CIRCUIT COURT~
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1 RJRTHER ~fRTIFY that I will comply wittt all other ~squirements of s leyal r~ident of thi: State.
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I FURTHER CERTIFY that i have no intention to retum to my former domicjle, and I intend to remain in FORT ;
PIERCE, SAINT LUCtE _COUNTY, FLORIDA, permanently. .
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~ . . - ,.'.:.:V ~ BUnice Ste ~ e ~
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~ _ , ~ _ (qddress)
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~ ~ , . 4th y December `
Swor~fo. ~'bscribQd before me this da of , 19._6.8_.
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ROGER rOiTRAS !
CIRCUIT C RT Notary Public ~
~~.t,Q~ CcaO'~-~~~
8y D.C. My ~ommiuion expires ~
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(To b~ ~x~w1~d in duplical~ and ari~tnal fiMd wbh Cl~k Cinuit Couef, and d~plkah wIN~ Tax AsNS~ora
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