HomeMy WebLinkAbout2150 Declaratson ot Domicile and Citisenship 1'74657
TG~ THE STATE AND COUNTY TAX ASSESSOR,
S1. lUC1E COUNTY, FIORIDA:
This is my declaration of Domicile and Citi=e~ship in the State of Flo~ida that I am filing this dsy in aoo~rdance and
in conformity with Chapter 222, Sectio~ 222.17, Flo~ida Statutes.
Cloq~it Minn.
1 was formerly a legal resident of
~C~y~ (State)
and I resided at 43? llth St7ceet _ , Ho„vever 1 have changed my domiGle
(St~eet and Numbe~)
to and am and have been a bona fide resident of the State of Florids sinee January 2? dsy of
_ , 19~_, and I ~eside at ~~~~~t • 1 - 1080-A - S t. I,uC ie Blvd
(Sheet and Number)
FORT MERCE, S1UNT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal residence arxi domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicite, purchsse of home, ett.)
Entering chdl.d in public school - Daniel Terr
RI~ED AND RECORDEDt
ST. LUCIE COUN7Y: PL/S.
RECORn VERIFIED
1'74657
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~ CLERK CIftCU1T COURT= ~
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I RJRTHER CfRTIFY that 1 will oomply witl~ all ofher requirements of a leyal resident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~~i,#,'~ (Na ) Rubyrae Tarr
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~ U~+ircrn ~eatid subsuibed before me this llth day of Januery ~ ~q 69 ,
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ROGER rOITRAS
aERIC CIRCUIT COURT Notary Public
Sy O.C. My Gommission expires
(Te b~ ~x~cvt~d in d~pliwt~ and ori~inal Rl~d wilh Cl~k poa~il Cowf, and duplieah wilh Tax As~ora
:
~o~~fi~ ~~147 ~
No. 13
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