HomeMy WebLinkAbout2820 Declaratio~ ot Don~icils a~d Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, f10RIDA:
This is my decla~ation of Oomicile and Citizenship in the State of Florida that I am filing this day in aaoordanos and
in confo~mity with Chapte~ 22?, Section 222.17, Florida Statutes.
I was fo~me~ly a legal ~esident of Barbersville West Virginia
~ (City) (Stah)
and 1 ~esided at Rt 1 , Hcvirever 1 have changsd my domic~k
(Street and Number)
ro and am and have been a bona fide resident of the Stste of Ftorida since day of
28th December 68 Indrio Road Rt 2 Box 2100
_ , 19 , and I roside at
~ (Sireet and Number)
FORT ~IdtCE, SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to be taken as my declarotion of citizenship, actual legal ~esidence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or ~elinquishment of employment
st fwmer domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing residence ' 1~,~
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S T. L UCIE C3UN YRD~ D
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I FURTHER GEltTIFY that I will oomply with all other requlrements of a le~a) residsnt of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and ! intend to remain in FORT
PIER 1NT LUCIE COUNTY, FLORfDA, permanently.
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~Swo?n ro atid wbsuibed before me this 25th ~y of Februa~cy 19 69 ~
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ROaER rORRAS
C~CWT C Not~ry Public
gy ~.C. My Gommiuio~ txpir~s
R~ b~ sx«~ M drpliu~ and ~ioiwal Al~d Rwi1a qui~ CMc+~k Cwe~, ~nd d~li~al~ wi1M T~c A~ra
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