HomeMy WebLinkAbout1529 .~~s~.~
Declaratio~ ot Dom~cil~ and Cittsenship ~
.
TO THE STATE AND GOUNTY TAX A?;iSES50R,
S~. WCIE ~OUNTY, FIORIDA:
This is my decls~ation of Oomicile and Citizenship in the Stste ot Florida that 1 am fili~q this day in aooordanos and
in conformity with Chapbr 22Z. Settion 222.17, Florida Statutes.
1 was formerly a legal ~esident of ~iCZ1~ti =~su _
(Ciy) (Stsb)
iS10 So St. Paui
and 1 rssided at . However 1 hsve thanyad my cldnki~
(Straet and Number)
ro and am and have been a bona fide rosident of t~e State of Florida since ~8th day of
MarCh ~ , 19 69, a~ ~ re~;~e at Rt 3 Box 310 Co1~er Rd
(Sheet and Number)
FORT M~CE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actuai legal residenoe and domiale in the State of Hotidi.
(Inse~t here any pe~tinent facts, such as sala of propery or buainess, or relinqui~ment of employment
st forme~ domicile, removal of family to new domidle, purchase of hom~ etc.)
17'6;~~+ _
Boteri~g Dodie ia the 2ad grade FILE~ AND RECORDED
ST. LUCIE C~JUNTY. FLA. -
c JiCYaO~ ~ H` ~~~t~ :'rRli'~FD
'&9 F~"!~ 31 P~ 3: 3 7
.
~A~.E~ F~A~~~~S
~~E~RK ~iRL~FT COURT
:
; .
4 I FURTHER ~ERTIFY that 1 will oomply with al) other roquirome~fs of a leyal resident of thb State.
f
~ I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remein in FORT
!
PI~ ~AINT tUC1E COUNTY, FLORIDA, permanently.
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S~irom to and subsuibed bafore m~ this 31 ~y of MalCh , 19~_.
ROGER rORRAS
~ ~ ~,p~T Notary Public
~ D.C. My Commissiwt ~xpiros
BY
iT. r. .x~a~ M d~plk.~. .ea «ianal til~~ whi~ u..k ci~wM c.w~, .wa d~IicM. ,nhh T.x A...M.ra
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