HomeMy WebLinkAbout0293 ` Declaration ot Domicile and Citi:enship 1~s43`7
TO THE STATE AND COUNTY TAX ASSESSOR,
St. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filirp this day in aooordanos and
in oonformity with Chapter 222, Section 222.17, Florida Statutes.
I was formeriy a legal ~esident of St. .~joseph MiChigan
(Ciy) (Sta»)
and I resided at _ 400 RObbin COUrt . Flcwever 1 have chsnged my domidk
(Strast and Numbe~)
to and am and have been a bona fide resident of t1~?e State of Florida since ~th day of
March 69 2740 Ft. Pierce Blvd
, 19 , and 1 reside at
(Street snd Number) `
~
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FORT PIERCE, SAINT tUC1E COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicife in the State of Horida.
(Insert here any pertinent facts, such as sale of propery or business, or relinquiahment of employment
at former domicile, remova) of family to new domicile, purchase of home, etc.)
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Entering John Erikson in the lst grade
1'7543`7. Eo
f!LED AND RE~ORO
ST RECO'RO YERIFIED a
1964 Kt~R f 0 RM IJ•
ROGER POtTRAS
CLERK CIRCUIT COURT
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1 FURTHER CERTIFY that 1 will oomply with all other requirements of a legal resident of this State.
` t FURTHER CERTIFY that I have no intention to retum to my former domicjle, snd I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. •
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- T ~ ~ Judith L. Erikson ( Mrs Joha )
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~''Swo?mrti~and suburibed before me this lOth day of March ~ ~q 69 .
ROGER POITRAS
CIRCUIT~,COURT Notary Public
l~
gy 7O D.G. My Commiss"wn expires
(To b~ ~x~wtad in duplicah and ori~nal Rl~d with Cl~lc Grcuh Cour~, snd duplicah wi~h Tax Ats~or.)
8001(~~ PACE ~i
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F1o. 13
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