HomeMy WebLinkAbout2414 Oecl~ration ot Don~icile and Cittzenship 1~482~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sj. LUCIE COUNTY, FIORIDA:
This is my declaratio~ of Oomicile and Citizenship in the State of Flarida that 1 am filing this day in aaoordenoe and
in oo~fo?mity with Chspter 222, Section 222.17, Florida Statutes.
I was fo~merly a legal resident of ~ i~~»~"n Nerth ('.arol i na
(City) (State)
and 1 resided at --~10 MitChel AVeIILie However I have chsnged my domiC~le
(Street arx! Number) ,
to and am and have been a bona fide resident af tJ~e State of Florida since -~'~.th ` day of
FAbrusr~_, 19~~, and 1 reaide at Rt 3 Bo][ 446D
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, R~RIDA
and this statement is to be takan as my declarotion of citizenship, aetual legal residenoe and domicile in ihe State of Horids.
(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of employment
st former domicile, ~emoval of family to new domicile, purchase of home, etc.)
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E~t~~r~~F~ildren in School `
FII.EO A ~pUNTY. E
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1 RJRTHER CERTIFY that I will oomply with all_ other requirements of a le~al resident of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and t intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, fIORIDA, permanently.
~ '
~ ~a"~~Lois Allison
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(Address)
Swom to and subscribed before me this lTth day February ,~q 69 ,
ROGER FBO
•lIRA9. ~ .
pFRf( C~~t COUI~~ - Notary Public
-
gy - _ - D.C. My Commission expires
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r~ ~J , .
(To b~ ~acutiSl in-duplk~.and ori~inal fil~d wi11~ Cl~rk Cirarh Courf, and duplicaf~ with Tax AsNaor.)
. , 3 . . ~o~~ ~.75 ~~4~0
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