HomeMy WebLinkAbout1265 17~i129
Decl~ration ot Domicll• a~d Citisenship ~
TO THE STATE AN~ GOUNTY TAX ASSESSOR,
Sl. WCIE COUNTY, fLORiDA:
This is my dsclaration of Domicile and Citizenship in ths Stete of Ftortda that i am filin~ this day in aaoordsno~ e~d
in oonformiy with Chapter ~2Z, Ssction 222.17, Florida Statutes.
1 was formerly a le~al resident of ~eM Y~=t NeM Yost
(City) (Stata)
and I resided at 2ZS Bast STtL Ststlt
(Sireet arxl Number)
ro a~d am and have baen s bona fide ~es'~dent of the State of Flotida sinoe - J~nit~ ~y ~
,~968 , and i rcside a~ 3330 So. Ptderal l~ig~ia,T ~
(5treet and Numb~r)
FORT M~Ci, SAIN? LUCIE COUNTY, RORIOA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domidle in fhe State of Horida.
(Insert hero any pertinent fads, such as sale of propery or buainess, or relinquishme~t af employment
at former domicile, removal of family to nsw domicite, purchase of home, etc.)
Por ho~estesd purposes Fi~EO ANO RECORDED
ST. LUCIE COUNN. FLA.
~:.CL~RG~ VERlF:ED
1'76~ 2y
'69 M~tt Z7 PM 1: Oy .
~
9 PpG~P. ? ITRAS
C~ERK CIRCUIT COURT
1 FURTHER CEitTIFY that I will aomply with all other roquiremsnts of a IeQal r~ide~t of this State.
1 FURTHER CERTfFY that i have no intention to retum to my former domicjle, snd 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permar~ently.
1
(Nsme) paul 1't~!
` (Address)
l;_i~j~~
: ~~~y~~~~ z~th
. lybx?ibed before me this day of ~atCb 19....~~.
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f' O.C. My Commiuiw~ expires
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_ (To b~ ` ~ in dupticaN and orioinal fit~el whh CtKk Circui~ Couet, and ehrpiiaM wilh Tax A~er.)
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