HomeMy WebLinkAbout2652 Declaration ot Don~icile and Citisenship : 1~4~4 ~
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TO THE STATE AND COUNTY TAX ASSESSOR.
Si. lUC1E COUNTY, FLORIDA: • _
This is my declaration of ~omicile and Citizenship in the State of Florida that i am filing this day in soo~rda~oe and
in conformity with Chapte~ 222, Settion 222.17, Floride Statutes.
NORTH I~IA MA•SSAPBQUA NBW YORY
I was formerly a legal ~esident of I
(Ciy) (Stats) ~
and 1 resided at _ 2 Sleat~Or DrivC _ . However I have changed my domi~3le
(Street and Number)
to and am and have been a bona fide resident of the State of Florids since 4th dey of
February , 19 69 , a~ i res~de at 109 Rio Mar ptzi Court
- (Street and Number)
FORT MEitCE, SAINT LUCIE COUNTY, RORIDA
end this statement is to be taken as my declaration of citizenship, actual legal residence and domitile in the State of Horida.
(Inse~t he~e any pertinent fads, such as sale of property or business, or ~elinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
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Bstablishing residence and enterin~:
FILEa AND RECORDED
ST. ~UCIE COUNTY. FLd~.
Stephanie in the 8th grade ?=.r~~D VERI~~ED
i'74984
william in the bth grade ~fig FEg 20 PM 31
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i F~OG~F ?•OI~RAS
~ CLERK CIRCUIT COURT
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i FURTHER CHtTIFY that I will aomply with all other raquiremenfs of a Isgal resident of this State.
I FURTHER ~ERTIFY that I have no intention to return to my former domi~jle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. .
<<::~e~~nari~~ ; , t
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` ' '3 ' ` (Name)
\1%.•••.....r: Q fi; i
• ~ G = William Beetle
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in : r.?. (Address)
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C~'~~~ ~`,~J'! ~'~v~~
~ .~5tivoiirtp and subscribed before me this 20th day of Februarv ,~q 69,
ROGER 'ORRAS
CIRCUR COURT Notary Public
- By D.C. My ~ommiuion axpires
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Re b~ ~x~evhd ia duplieaN and ari~ieal fil~d wMh Cl~ek Cira~it Car~1, and duplieah wilh Tax A~~a ~
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