HomeMy WebLinkAbout0497 , . 17'S59'7'
, D~claration ot Domicll~ and Citizsnship
TO THE STATE AND COUNTY TAX ASSESSOR~
Sj. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile end Cnizens.~ip in ths State of Horida that 1 am filiny this dsy in aooorda~os and
in oonfo~mity with Chapter 222, Section 222.17, Florida Statutes. -
1 was fo~merly a legal resident of We.,ct f+ w 1 d Mas s achu c C.~.t S
(City) (State)
and I rosided at _ L ns?k TprrarE+ . However i have tharpsd my domitiie
(Street and Number)
ro and am and have been a bona fide resident of the Stats of Florida since ~~t day of
September~ ~q 68~ a~ ~ reside at South Sha*e Rnad~ B_au R±vaa~,~•
(Street and Number)
fORT MERCE, SA1NT lUC1E COUNT1f, RORI~A g
and this statement is to be taken as my declarotion of citizenship, actval lagal residenoe and domicile in the State of Florida.
pnsert here any pertinent facfs, such as sale of property or business, or ~elinquishment of emplaymsnt
at former domicile, removal of family to new domicile, purchase of home, etc.)
Sold home in Massachusetts
Bought home at South Shore Road
Beau Rivage, Stuart , Fla.
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I FURTHER CERTIFY that 1 will oomply with all other requirecr~snb of a legal resident of this State. ~
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I FURTHER CERTIFY that I have no intention to retum to my forme~ domicjle, and intend to remain in FORT '
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PIERCE, SAINT LUCIE COUNTY, ~IORIDA, pemnanently. ~
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Sworn to and subsuibed before me fhis I.dLt1 c~ay Of Ma r~?h , 19~_.
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~r Notary Public ;
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By ` - D.C. . My Gommis:ion expir~s `
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(T. r. ~ •:i~d .rlaiw.t fi~d wil~ u«k cirarft c~eu~+, aua d~ical. wi11~ T.x A......~a
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