HomeMy WebLinkAbout0625 De~~aration ot Domicile And Cftizenship ~~5
s9S
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. IUCIE COUNTY, FLORIDA:
This is my declaratio~ of Domicile and Citi=ensi~ip in the State of Flcrida that 1 am fili~g tFiis dsy in ecoordencs and
in oonformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of S t Ma ry G e r e~ a
(City) (Stat~)
and 1 ~esided at 110 We s t S t. Mar v S t xe e t . However 1 have chan~ed my domidle
(Strest and Number)
b and am and have been a bor?a fide ~esident of the State of Florida since 16 t day of
Mardh_ 19~4, and I roside at Rt 3 Bn~ 4~~ Pr;
r~rr^v;
~ (Street~and Number)
FORT MEItCE, SAINT LUCIE COUNTY, RORlDA
and this statement is to be taken as my declaration of citizenship, actva) legal residenoe and domicile in the State of Horida.
(Insert here any pertinent facts, such as ssle of property or businass, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Entering Gwendolyn Lovell in 5th Grade
of Public School
FILED AND RECORDE~~
ST.~~fORn vERIFYEDL~:
~ 1'75695
I~ '69 MAR I 7 PM 12 : OZ
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E riOGC ~ FOiTRAS ~
t CLERK CIRCUIT COURT•
I RIRTHER CERTIFY that I will compfy with all other requirements of a lepal resldent of this State.
1 FURTHER CERTfFY that 1 have no_ intention to return to my former domitile, and I intend to remain i~ FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name) Sherman Lovell, Jr.
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(Address) ~
= i.
3
- ~ to, and subxribed before me this 17th ~y pf l~+La rch , ~q~Q.
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J~'...~ i~;G~~•
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'.,•;f~=-Q~RK~!'~_ Notary Public
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• ~y~. ; D.C. My Canmiuion expires
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S~K17~ ~ 624 y
t1o- 19
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