HomeMy WebLinkAbout0308 Declaration ot ~omtcils M~d Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE ~OUNTY, FIORIDA:
This is my declaration of Oomicile and ~tizenship in ths State of Florida that I am filing this day in aooordanos and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of ~uisville Kentucky
~City~ (State)
and 1 resided at 2125 EastviPw Avenue 40205 . However I have changed my damitile
(Stroet and Numbe~)
ro and am and have been a bona fide resident of the State of Florida sinoe 8th day of
~ar.ch , t91i.4., and I reside at Oleander ~vea~e
. (Street and Number)
FORT PIHtCE, SAINT LUCIE COUNTY, RORIDA ~No. unknown) temporarily
and this statement is to be taken as my declaration of citizenship, actual legal residence and domiale in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
Entering Children in School
F!LED AND r~EGOR0E0
ST. LUC1~ COUNTY. Fl.a. ~
RECORO VERIFIED ~
1969 MpR I 0 PM 12: 29
C ERK CIR U T
COURT
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1'75449
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i RJRTHER G'EitTIFY that i will comply with all other requiremenn of a leyal resident of fhis State. ;
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1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanentiy. ~
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(Name) Mrs. william K.Hitt
(Ann)
(Address)
Sworn to.~ndaubscribed before me this lOth day of 1N~*Gh , ~q 69 ,
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= Q~RK.CIRCUR ~ Notary Public
8y D.C. My Commiss'wn expires
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_ R~ ~ait~ jii:.duplicat~ and ori~inal fil~d whh Cl~eic Ciraiit Cou~t, and duplica~a with Tax AsNS~.)
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. dQOK~~ PAC~ ~JT
1So. 13
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