HomeMy WebLinkAbout1097 O~cluaUo~ of Domicil~ and Cltis~nship 1~3~1
TO THE STATE AND COUNTY TAX l~?SSESSOR,
51. tUCIE COUNTY, FLORIOA:
This is my declaration of Domicile and Citiz~nship In ths Stats of Horida that 1 am filin9 fhis day in aaoordana a~d
in conformity with ChaptK 222, Settion 222.17, Florida Statuhs.
1 wu formerly a leqal rosident of CO1Limbus Ohio
~i~y~ (Statr)
2863 Brandon Road
snd 1~id~d et HowwK 1 haw cha~p~d my domidl~
~t and Number)
ro and am a~d have been a bons fids rosident of the Sta» of Florida sinos Jan. 15 day of
, 19~~, and 1 rosids at ~20 Shady T.ene
~
(Street and Number)
!O!T ME~C~. SAINT L11CIE COtlNtTY, lLORIDA
and this statsn~t is to be taken as my declaration of citimnship, actual legal residenoe a~d domidle in the State of Horida.
(Insert here any pertinent facts, such as sale of property or b~niness, or mlinquishmsnt of amployrnsnt
at f~ormer domicils, removal of family to new domidle, purchsse of home, atc.)
homeatead purpoaes
l~ILEO AND REGORDEO`
ST. l.UC1E COUN'TY, pLA.
RF.CQR~`~~~
l~r
'69 JAt~ I 7 AM I: 58
~ ~
~
~ ER f'OITRAS
~ CLE K CIRCUIT COURT~
~
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1 FURTHER CERTIFY that 1 will aornply with all oth~r nquirwrwa~ts of ~ lepal r~idsM of th~ State.
I fURTHER CERTIFY that 1 have no intention to retum to my fomner domiqle, and I intend to romain in FORT
PIERCE, SAINT U~IE COUNTY, FLORIDA, permanently.
. ' .
_ . - Paul C Mayer
•
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. (q~dd~
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.Swotn b and wbsuibsd bsfore nk fhis ~ 7 day of 19-~
~OO~R ~ORRA:
/ ~ C~pNT COtIRT Notary Pubik
~
by D.C. My Comrnission ~xpihs
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