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HomeMy WebLinkAbout2194 Decla~ation o4 Domicile and Citise~ship TO THE STATE AND COUNTY TAX ASSESSOR, 1'74682 S~. LUCIE ~OUNTY, FLORIDA: This is my declaration of Domicile and Citize~ship in ths State of Florida that 1 am filing this dey in acnordanos and in confo~mity with Chapter 222, Section 222.17, Florida Statutes. I was formerly a legal resident of MemphiS Tennessee (Ciy) (State) and I resided at ?684 Arapaho Strt@t . Howevef 1 hsve changed my domiale ~ (Street and Number) to and am and have been a bona fide resident of the State of Florida sinoe Sth day of February , 19 69, a~ ~ reside a~ ?16 Texas Court (Street and Number) FORT lIERCE, SAINT LUCIE COUNTY, RORIDA i and this stateme~t is to be taken as my detlaration of citizenship, actual laga) residence and domicile in the State of Horida. ; { pnse~t here any pertinent facfs, such as sale of property o~ busineu, or relinquishment of employment ~ at former domicile, removal of family to new rlomicile, purchase of home, etc.) Place Children in School Randy Nabors ?th Grade ST ~E~ AND RECORDgp? ~ LUCIE COUNTY: FL~ ' ~ Ricl[ey Nabors 4th Grade RECORD VERIFIEO 1`746g2 ~ Bobby Terry Nabors 2nd Grade . *6s FE6 I I ~ ~ . $ RO;,~R POITRAg ` CLERK CIRCUIT COURTj t ~ ~ i f ~ ~ ~ ~ ~ 1 FURTHER CERTIFY that I will aomply with all other ~equirements of a le~al residenf of this State. I FURTHER CERTIFY that I have no intention to retum to my former domiCile, and I intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. . ~i~l_~i _ i~" G L~~ifQ~ ~ = ~ ~ s (Name) Willie P. Nabors ~ c~~T - , t - 716 Texas Court, Ft. Pierce, Fla. ~ •J , ~j . 8 : (A(~C~rOSS) ~ : . n' Q . ~ ~;~'Swotn•tD a~dvsubscribed before me this llth day of Pebruary ,~q 69, ~ . „ 1;~ ,,,a ~oac~e rom~?s CLERK ClRC COURT Notary Public ~ By ~ D.C. My Commiuion expi~es ~ (To b~ uacrf~d ie ~plieab aed o~inal fil~d witb Cl~k Grarit Cou~f, aed duplicah wHl~ Tax AsNS~a.) r I ~ doo~ gi ~ °R175~21 . ~ ~ _ _ - ~ ~s~~ _ _ ~._ti ~ 4~~.~~~~