HomeMy WebLinkAbout0797 ~ O~claration of Oornicil~ and Citis~nship
TO THE STATE AN~ COUNTY TAX AkiSESSOR,
51. ll1CIE COUNTY, FIORiDA:
This is my declsntion of Oomicile and Citis~nship in th~ State of Florida that 1 am filinq this day in aooordano~ ~~d
in aonformity with CfiaptK 222. Ssction 222.17, Florida Statutes. ~
~ was f«mer~y a ~eya~ rosid~nt of G1..llord Conneoticut
(~ty) (Sta»)
14 Bay Street ~
.nd I rosidsd at . However 1 ha~re chanq~d my domiCil~
(Street and Number)
ro and am and have been a bona fide rosident of the Stsb of Fiorida si~oe ~0~@IDbe! 6 ~Y ~
68 , a~ i ro,;~ 201 lfhieperine Creek Village ~
~ ~ 9 (5tro~t and NumbK)
~ORT ~IQCE. SAINT LNCIE COUNIY, RORIDA
and this :tatemsnt is ro be taken as my declaration of citizenship, actual le~a{ residenos end domidle in ihe Stste of Hotkli.
qnsert here any pertinent facts, such as sale of property or business, or mlinquishment of employmant ,
at former domidle, removal of family to new domidle, purchase of home, etc.)
Establishing residency
t
FII.EQ AND RE~? RD,~D-~ :
ST. ~1JCIE COtlN fY~o • ;
RFCORD VERI 1 `
1'73`73~ ~
'69 JAN 0 AM I 1' 38 '
RO R r'OITRAS
Ct.ER CIRCUIT COURT:
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i FURTI#R GgtTiFY that I will oomply with al) otl~ roquireme~b of a lepal residsM of thb Statt. .
1 RIRTHER CERTIFY that I have no intention t~o ratum to my former domi4le, and I intand to remain in fOR7
~ PIERCE, SAINT -LUCIE~ COUNTY, FlOR10A, permanently.
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: (t~ame) Joeeph i~ Char
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~ ' lOth dannery 69
S'work1b•~tid subsc~ibsd before me this day of i9 .
ROOf~ rO1TRA~
C.LiRK pRGNT CONRT Notary Public
8y ~.C. My Commission pcpi~
R~ M~oo~w~.r i~ ~lis.~. awr ~.i~Mal !N~ wi* G«k ChaiM Gw~. ~ wi* Tavc A~.,?
- g~1?5 ~ .795
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