HomeMy WebLinkAbout2102 Dectaration ot Domicile and Citisenship 1'7462~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declarotion of Oomicile and Citizenship in the State of Florida that 1 am filing this day in aooordanos and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
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1 was formerly a legal ~esident of Decatur Alabama
• (Ciy) (Staro)
and I resided at ~-~6 7th ave, S. 8. . Howevar I have change~d my domiCile
(Street and Numbe~)
to and am and have bee~ a bona fide resident of the State of Florida since 8th day of
Febru~v , 19~, and I reside at 408 No. 38th_ Street
69 (Street and Number)
FORT PtERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my decla~ation of citizenship, actual lega) residence and domicile in the State of Horida.
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(Insert here any pertinent facts, such as sale of properry or business, or relinquishment of employment 1.
at former domicile, ~emoval of family to new domicile, purchsse of home, etc.)
RC~TXLD JoBn Buchmeyer 10 years
STEVIIV MICHAEL BL'CHMEYER 9 years
FILED AND RECORDED'
ST. LUCtE COUNTY. FLd.
R E:1'7462~7' E D
'69 FE6 10 AM 8: 3
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:iOG~~ ITRAS
CLERK CIRCUIT COUR~
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I RIRTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State. j
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I FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I inte~d to remain in FORT i
PlERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ ~
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' ~ ~ MRS. TO1WuIY HAWKINS
, . - : (Name)
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: 408 No. 38th. Street, Ft. Pierce.
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= ~ ~ ~ ~ ; (Address) .
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,~~~'9wrom~tb and subxribed before me this 10 day of February ,~q~Q_,
ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
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8y N' D.C. My ~ommission expires ~
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(To b~ ~x~cvhd in duplical~ aed ori~inal fil~d wifh Cl~ic Cira~it Cou and duplicsfa wilb Tax As~or.)
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