HomeMy WebLinkAbout2139 Declaration ot DomiCile and Citizenshlp
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sj. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am fili~g this day in aooordance and
in conformity with ~hapter 222, Section 222.17, Flo~ida Statutes.
1 was forme~ly a legal ~esident of ~noxville TennPSCPe
(Ciy) (Staro)
and I resided at Rt 9 Green Lane . However 1 have changed my domiti~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida sinoe 4th day of
Februar~ , 19 69, and 1 reside at 600 block t~»+h 4th_ Street
(Sheet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in fhe Stab of Horida.
(Insert here any pe~tinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of fami~ to new domicile, purchase of home, etc.)
SHBRRY D~TTON 9 ye a r s
KI`1BERLEY DBNTON 7 years
TERESA DFNrON 6 years FII.EO AND
ST. l.V~~E COUNTY FL/S
RECO~p V~RlFfED
'~9 fEB I 0 ~4~i
PM 3 ~ I 4
aoce~ r-o,rRA~
CIERK CIRCUIT COURT:
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1 RIRTHER CERTIFY that I will comply with all other requirementa of a le~al resident of this State. ;
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= 1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
; PIERCE, SAINT LUCIE COUNTY, FLORIDA, permaneMly. ~a~~L~N~ f
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` : ; ~ CAROLYN DEI~TON
, .,.<<:~ . (Name)
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- r.? : - ~ : 600 biock South 4th. Street
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- ~ ~ (Address)
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~'9worn~to and subscribed before me this lOth day of February , ~q 69 ,
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ROGER POITRAS
CIERK CIRCUIT COURT Notary Public
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By D.C. My ~ommission expires ~
(To b~ uacutid in duplicat~ and ai~inal fil~d wifh Cl~rlc Grcui~ CouA, and duplicab with Tax A~or.)
BaoK175 PA~~2136
hlo. 13
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