HomeMy WebLinkAbout0358 D~cla~atio~ ot Domicil~ a~d Citis~nship 1'73?420
TO THE STATE AND QOUNTY TAX ASSESSOR, ~t
51. UJCIE COUNTY, FLORIDA:
This is my declaratio~ of Oomicila and Ctixe~?ship in ths Staro of Horida that 1~m fi{in~ this day in aooordanos end
in aonformiy with Chapter 222, Section 222.17. Florida Statutes.
1 wss formerly a leqal rosident of Bueaoa Aires Argentina ~ So. Am.
(~ity) (Sta»)
and 1 rosided at 3??8 Betuti St. However 1 havecharqsd my domic~le
(Street and Number)
b~nd am a~d have been a bona fide resident of the Staro of Florida sinos 6th ~y ~
Auqust ,~q 67, a~ ~ 4~41 ~Greenwood Drive, Pt. Pierce, Pla.
(Sheet and Numbsr)
l~ORT N~Q S~AINT LUCIE COUNIY, 1'LORIDA ~
and thi: statement is ro be taken as my dedaration of citizenship, actual legal ~esidenoe snd domicile in the Staro of Fiorida.
(In:ert hero any pertinent facts, such as sale of property or bu:iness, or relinquishment of employment...+'
at former domicile, renwval of family to new domicile, purchase of hame, etc.) t
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FII.E~ECUTYFA~
ST.R~.CORQ VER{FIED l~~O
~68 OEC ~ 31 Pa : 5 I
ROGC~ PO~~RAS . ~
CLERK CIRCUI7 COURTi
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1 RJRTHER G~RTIFY that I will oomply wfth all othsr roquiren~enb of a lepai rosldent of thb State. ~
, 1 FURTHER CERTIFY that 1 have no intention to return to my fomner domicjle, and I intend to ~emain in FORT
PIERCE, SAINT LUCIE COUNTIf, FLORIDA, permanently.
' s. ' ^ ~ OSCAIt B . DBN IS ~1'1Y`~ ~ • ~ o
• . _ Ma~,
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~ . . '~ti, . . _ 4041 Greenwood Drive, Pt. Pierce, ;
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~ . s (Address? Florida ~
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5worn td and i~uibed before me this 31 st day ~ December ~q 68
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Rooee ~orr~u?s ~
GRCUR COtlRT . Notary Public
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By h"'~ ~.C. My Commiuion expires ;
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R. b..oc«,~l.d iw drpu~.l..nd ori~iwal fll~d wili~ a.~lc ci~nk cewf, ana d~plic.l~. wfH~ T.x A+..«e~a
a~i75 ~ 35_7.
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