HomeMy WebLinkAbout1464 t
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1'74216 ~
O~claration of Do~nicile and Citise~ship ~
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TO THE STATE AND COUNTY TAX ASSESSOR, ~
S1. LUClE COUNTY, FLORIDA: '
This is my declaratio~ of Oomici:e and Citizanship in the State of Florida tfiat I am filinq this day in aooo~dano~ and ~
(
in conformity with Chapter 222. Settion 222.17, Ftorida Statutes. -
1
I was formerly a lega) resident of ~BQ~n G@OZ'g18 '
(City) (Stah)
and I rosided at 2292 Jeff Davis St2'eBt ,~Wever 1 have charpsd my domidie
(Street and Number)
to and am and have been a bona fids res'ident of the State of Florids sinoe '18n • 2? day of
, 19 69 , and I reside at Rt. 1~ Bluefield Rosd ~
, (Sheet and Number)
i
FORT NERCE. SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my dedaration of citizenship, actval lagsl residenoe snd domidle in the Stafe of f~lorida. (
pruert hero any pe~tinent facts, such as sale of property or businass, or relinquishment of employment
st former domicile, removal of family to new domicile, purchase of home, etc.)
entering children in school
Donnie, Peggy, Brenda ~ Conley -
FILED AND RECORDED
ST. LUC1E COUNTY. FLA.
(:f.CnR') `lF~IrIFD ~
; 1"74~1 -
. 'fia sr~~ 28 : 31
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OURT
~ CLERK CIRCUIT C
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1 FURTHER CfRTIFY that 1 will aompfy with all otl~er requirerr~ants of a Is~al residsnt of this State.
I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and 1 intend to ramain in FORT
PIERCE, SAINT IUCIE COUNTY, FIORIDA, permanently. ~ ~
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Ma~~ urtis leg
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~ ~`~•G~~~ 28th Jenuery 6
S~rar,b and wbscribed before me this day of , 19 9.
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ROO~ rO11RAt ~
Ct~K pRCWT COURT Notary Public
gy D.C. My Commission ~xpins
R~ i» ~oac+iN~ M i~licaN ~~ei~iwai ~ will~ CMrlc Ciewk Cww~, awd ~p~aN wiN~ Tas A~~.1
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