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HomeMy WebLinkAbout1219 Declaration ot Domicfle a~d Citiz~~ship TO THE STATE AND ~OUNTY TAX ASSESSOR, ~~.y~~~ ~ Si. IUCIE COUNTY, fIORIDA: This is my decla~ation of Domicile and Citizenihip in ths Staro of Fiorida that I am filin~ this dsy in aooordanos and in aonformity with Chapter 222, Section 222.17, Fiorida Statutes. I was formerly a Isgal rasident of Dalla3 Texas (City) tStat~) and 1 resided at Hersheil Street .~~,,,eV~ n,y ~id~e (Street and Number) ro and am and have been a bona fide resident of the State of Florids sinoe Znd dsy of June , ~q 68 , a~ at 120 Maple Ave. (Straet snd Numbsr) ro~ M~, s~ wc~ counnr, ao~uw and this statement is to be taken as my declaration of cit~zenship, artual legal ~esidenoe and domidle in the State of Horida. pnsert here any pertinent facts, such as sale of property or business, or relinquishme~t of employment st forme~ domicile, removai of family to new domidie, purchase of horr~e, etc.) ~ Establishing residence and applying for homestead FILEO ANO RECORflEp~:. 5T. L-t1CiE C~UNTY; . R~i'7403'~7~~Eo '69 JAN 2 t PM IZ : 52 k !t~ ~ /d-~ : ~ ~0 , R~ ~017RAS ~ ~~ER 'CIaCU1T COURT: s ~ ~ 1 FURTHER CBtTIFY that I wili oomply with all other nquirement~ of a lepal roaident of this State. 1 fURTHER CERTiFlf that I hava no intention to return to my former domicjle, and I intend to remain in FORT PIERCE, SqtN7 >Ll)CIE COUNTY, FLORIDA, perma~ently. : . _ - " ~ . • ` . (Name) f : - ' : wiiiiam Rulapaugh Jr = ~ ~ ~ ' ' ~ (~fQif~ : Sworn to end wbscribed befor~ me this 21 St ~y ~ Janusry ~~q 699 ROGER /OITRAf C~CWT tOi1RT Notary Public gy a~`-~~ ~.C. My Commissjon .xpins a. r. .~.~w.r a~upK~.~. .u~ ..i~i~i nl~ a?Ma cM~C cMaN c.wt. +~e.~. ,~ri~ T.oc A......ra ~1~ ~i2~s . _ _ ; ~ - ~ . ~ _ : -w~ .w ~_~w ~La