HomeMy WebLinkAbout0951 Declaratto~ ot Don~icil• and Citis~nship
.l`7385y
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCtE COUNTY, FIORIDA: -
This is my dsclaration of Oomicile and Cti=enship in the Stats of florida that 1 am filin~ this day in aooordanos and
in aonformity with Chapte~ 222, Setlion 222.17, Floride Statutes.
I wa: formerly a leqal resident of AlbeYly New York
(City) (Sta»)
and I resided at 179 Van Renealer Blvd. my ~~le
(Sneet and Number) ~
b and am and have been a bons fide resident of the Stsro of Florida sinoe AOV. 1 ~y ~
, 19 68 , and I reside at Route 3 s BoZ 303
(Straet and Number)
~ORT M~CE, SAINT LtIC1E COUNTY, RORIOA
a~d this statement is to be taken as my daclaration of atizer~ship, actual legal residence and domicile in the State of Norida.
(Insert here any pe~tinent fac~s, such as sale of propery or busineu, or relinquishmsnt of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
Filing for homeete~D E%EMPTIOR
FILEO ANO RECORD~~ ~
ST.RECORG VERIF ED A~
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1'7385`~ _
'69 JAN S 1W 10: 4
ROG P017RAS !
~ CLERK CIRCUIT COURT~
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1 RJRTHER GHtTIFY that I will avmply with all other roqui~ements of e(spal residant of this State.
I FURTHER CERTIFY that I hsve no intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~_t~i:tt:i:~;`~~~,
Y`~ pvame) Bambina Marzello
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Sworr~~o~nd wbscribed before me this 6th ~y ' J8nu8Ty , 19~4..
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ROGER ~OITRAS ~
CLERK CtRCtlIT COtJRT Notary Public
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Sy ~G D.C. My Commission expires • }
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Ro b~ ~~acvhd i~ ~ and orioina{ fif~d wi~ CIKIc Ciew~it Cov~, and dvplial~ wiM~ Tax A~ora
a~ 175 ,~E 948
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