HomeMy WebLinkAbout2334 ~ecia~ation ot Domicile and Cittzenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. lUC1E COUNTY, FLORI~A:
Thia is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in eooordanoe and
in oonformity with Chapter 222, Secfion 222.17, Florida Statutes.
1 was formerly a legal resident of St• ClBit ShOres MiChi ~elQ
~C~y) (Stafs)
and I resided at 22209 Lakeshire . However 1 have chan~ed my domic3le
(Street a~d Numbe~)
b and am and have been a bona fide resident of tJ~e Stab of Florida since ~ t• 9 _ day of
_ , 19 68, and I reside at 112 S07c fi~st Aldes ~
(Street and Number)
f.ORT ~IERCE, SAINT LUCIE COUNTY, RORIDA ~
;
and this statement is to be taken as my declaration of citizenship, actuat legal residenoe and domicile in the State of Horida. ~
(Inse~t here any peninent facts, such as sale of property or business, or relinquishment of employment ~
at fwmer domicile, removal of family to new domicile, purchase of home, etc.) ~
for homestead purposes '
FILEO AND RECOROED
ST. LUCIE COUNTY. FLQ.
R~COPD VEP.IFtED
1~4~~ ~
'69 fE6 14 AIN 9:37 `
o~
RO~CR POITRAS
CLERK CIRCUIT COURT
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1 RJRTHER ~ERTIFY that I will aomply with all other requirements of a le~al resident of this StaTe.
1 FURTHER CERTIFY that I have no intention to retum to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORI~A, permanently. ;
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(Name) Warren Sherman
~ ' ~ ,••o;,
i~'.•~' (Address)
~ ~~)•~.`T . i~~ ~ t
~ f ~..t - ~'~'4 ` ~ 14 ~'ebruary 69 ~
~ -'~ti~q rqd ~ibqd bel~re me this day of , 19 . ~
~ :k.
' ROGER; - ~
~K C11~1~?, Notary Public ~
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By D.C. My Commiuion expires
R~ b~ ~ae~rhd iw dvpiieal~ aed erioinal fil~d wilh Cl~c Ci~arh Couef, aed ~ wkl~ Tax A~~xa
g~~75 ~~;331 t
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