HomeMy WebLinkAbout2103 Declaratio~ ot Domi~ile a~d Cit[zenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IU~IE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordance and
in oonformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Lexington Ky•
tCiy) (State)
and 1 resided at ~ _ 5~9 Judy Le21e , Ho~n,ever 1 have changad my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since Februarv 4 day of
69 ?35 1/2 Delaware Avenue
_ , 19 , and ! reside at
(Sheet snd Number)
FORT MERCE, SAINT tUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in fhe State of Ho~ida.
(Insert here any pertinent fads, such as sale of property or busineu, or ~elinquishment of employment
at former domicile, ~emoval of family to new domicile, purchase of home, eTt.)
Entering children in public school
FI~ED qMp RECO
sr. WciE co~N R~E~~
rE:~~4 ~F?En~'~
~ ~
69 FEe ~ o ~ s :
O1
~IER~ J
F~a?~~~~
K C?RCUIT CO(1RT
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1 FURTHER CERTIFY that I will oomply with all other requirements of a legal res"~dent of thia State.
~ 1 FURTHER CERTIFY that I have no intention to retum to my former domivle, and 1 intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
. ~
(Name) ob phy
s~
rt • ' -
~ : . - . (Addfess) ,
t
6
~ . • • . .
T
~ • - 10 February 69
: • Sy~ior~~ to and subscribed before me this day of , 19 .
1
ROGER POITitAS
~ CLERK CIRCUR COURT Notary Public
By ~.C. My ~ommiss'ion expires
~ 1Te b~ uacvt~d ie duplicat~ and ori~inal fil~d wi1i~ C{~elc qrarit Courf, and dupliuh wHl~ Tax Asasar.)
~ ~ ~175 ~x1~ !
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