HomeMy WebLinkAbout1070 . .t.`:~:3~~•33
Decla~atio~ at Domicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR.
Si . LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicite and Gitizenship in ths State of Florida that I am filin~ this day i~ aooordana and
in aonformiy with Chapter 222, Section 222.17, Florida Statutes.
New York Citv• New Yc~rk
1 was formarly a 1e9a1 ~esident of _
. t~;y) (State)
and 1 ~esided at 462 W 151street Apt 9 . However 1 havechsnqad my domidle
(St~eet and Number)
to and am a~d have been a bona fide resident of the State of Florid~ sinoe lSth ~y ~
9
J a nuar~? , ~q-~6 , a~ at 914 C North 13th strp~t
(Street and Numbei)
fORT PIERCE, SAIN? LUCIE COUNTY, FLORIDA
and this :tatement is to be taken as my decla~afion of citizenship, attual legal ~e:idenoe and domiale in the State of Florida.
(Insert here any pe~tinent facts, such a: sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domiale, purchase of home, etc.)
Estabiishing resi~eace and will apply for homestead
~ILED AND REC~RD~D ~
ST, IUCIE COUNTY. FLA•
RECORD ~3~3
1
'69 JAN 1 i AM 10 : 29 ~ -
; ~
~ ROGER POITRAS
~ CLERK CIRCUIT COURT ~
~
1 FURTHER CERTIFY that f will aomply with all other roquirements of a leqal resident of thi: State.
I FURTHER CERTIFY that I have no intention b retum to my former domiGle, and ! iniend to remain in FORT
PIERCE, T:, IE;_~OUNTY, fLOR1~A, permanently.
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` ' ~ •-.1:, (Name)
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~ - . jt. James L. Sowell ,
~ 4~ ,"n~°.''~' : r.: ' -
" J? - .1 = ~
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. Sworn to ar~d wburibad before me this 17 t h day ~ J ai1 ua r 9 , 19~_.
. . , • .
ROGER PORRAS
CtRCNIT~OURT' Notary Public
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8y a"`'~G T~ O.C. My Commission expir~s
Ro b~ ~x«w~ i~ dvplicalr a~ Kioiwal fif~ wi1~ pNk Grcwt C«rA, awd duplicaN with Tax Ass~ssxa
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~i75 ~E1~?
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