HomeMy WebLinkAbout0111 D~cluatbn ot Domi~il~ and Citis~nship 1'~'~~
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FtORIDA:
This is my decla~ation of Domicile and Citisen~ip in th~ S/aro of Florida that 1 am filinq this day in aooordano~ and
in aonformity with Chapter 2Z2, S~dion Z22.17, Fiorida Statut~s.
1 was formsrly a Ipal rosident of IDdiatiaDOlis Ind' ans {
(qtY) tStatr)
and 1~id.d at 7316 Bast 49th Street . How.wr 1 haw chan~.d my domWb
(Street and Numbsf)
ro a~d am ~nd hsve baen a bons fide resident of the State of Flor~da si~oe 18 th ~y
December , ~q 68, a„~ ~ 109 CaLnoso Drive . River Park
(Stroet and Number)
!'ORT ~1lRC~, SAINT U1C~ COUNTY. RORIDA
and this statement is to be take~ as my declaration of atirenship, actval lepal res'~denoe and domicile in the State of Horida.
pnsert here ~any pertinent facta, such as sale of propery or business, or mlinqui~msnt of ~mployrr+e~t "
at form~t domicile, removsi of family to new domicile, purthaae of home, etc.)
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1 FtJRTHER CHtTiFY th~t 1 wtll aomply with all a~F~ ~~ir~nwnis of a le~sl ~ of this Stat~.
1 fURfiMER CERTIFY that 1 have no intentro~ to retum to my former domidle, er~d i intand in in FORT
PIERCE, ~pINT LUG{~ COUNTY, FLORIDA, permanently. ~ n
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' . ' . RICHARD B . LI BBBR1'H ~
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~ 1' ~ 109 CaL~oso Drive, River Yark
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y~~ b ~ ~~i~ ~ 30th ~y ~ December , 19_ib8
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