HomeMy WebLinkAbout2462 Decia~ation ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORiDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing tt~is day in acoo~danos and
in aor!fc+rmity with Chapter 222, Section 222.17, Florida Stari?t~es.
1 was forme~ly a leyal resident of ~B08S0 ~1C ~,(~,,,_821
. (CitY) (Stab)
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and 1 resided at 520 Eaet Main Street ,~we~e~ ~ have chanqet! my domk3le
(Snaet and Number)
ro and am and have been a bona fide resident of the State of Florida sinoe Feb7eutary 9 day of
~ , 19 69, and 1 reside at 72~ SO. 2IId Stre@t
(Street and Number)
FORT WERCE, S/UNT tUCiE COUNTY, FLORlDA
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domiale in the State of Horida.
(Insert here any peninent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domidle, purchase of home, etc.)
Entering Cindy Lou Backus in public sahool
F1LE0 ANO RECORDED'
ST. ~UCIE COUNTY. FLd'.
RECORD VERIF~ED
1'74R5'7
- '69 f E8 18 A~{ 9: OS
,
RO~E s OiTRAS
' CLERK CIRCUIT COURT?
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I FURTHER CERTIFY that 1 will oomply with all other requirements of a layal residsnt of this Stste.
I FURTHER CERTIFY that I have no intention to retum to my former domiGle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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'.;~:4 (Name) Redelia ~Bsckus
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~~`''~p:To(~1d'stibtcribed before me thia 18 day of February 19 69
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ROGER PORRAS
CLQK ~IRCUR COURT Notary Public
gy ~ ~ ~.C. My Commiuion expi~es
(To b~ pacvlsd in duplicat~ and o~inal 8f~d wi1l~ ClKk qrarit Cou~, and duplicab with Tax A~sora
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