HomeMy WebLinkAbout1620 O~ciw~ation ot DomiQil~ and Cltis~nship
TO THE STATE AND COUNTY TAX ASSESSOR,
ST, lUC1E COUNTY, FIORIDA: ,
This is my decla~atio~ of ~omicils and ~tinnihip in th~ Stati of Horida that 1 am filinq this day i~ sooordana ~nd
in oonformity with Chapter 222. Sectio~ 222.17, Fbrida Statufa. ~
1„was formsrly a le~al rosident of C~tO~ ~3~
(City) lst~t~)
and 1 rosided at a33 39th Street N ii. , Hor„e~ ~ have d„r,~.d my domtdl.
(Street and . Number)
ro and am a~d haw? been a bone fids resident of the Stste of Fiorida sinos lit ~y ~
August 68 110 Celestia Sourt
, 19 , and 1 roside at
(Streef and Number)
l~ORT MERC~, SAINT :'.:t1E COUNTY, FLORI~A
and this statement is to be taken as my daclaration of atizenship, actual la~al residenos and domidle in the Stste of Horida.
qnsert here any pertinent facts, such as sale of property or busir~ess, or relinquishment of employmsnt
at forme~ domicils, removai of family to new domidie, purchase of home, etc.)
Bstsbiishiag reside~ce aad applyi~Q tor ho~~t.~sd
FIlEG AND RECORDEttj
~ - ST. tUC1E COUNTIf, FE,~;?
RECORO VERIFIEO
- 1~03
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~
_ RO~~R i~01TRAS
CLERK CIRCUIT COURT;
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~ 1 RIRTHER CERTIFY that I will aon?ply with all other roquiremsnts of a lepal residsnt of this Statt.
I RIRTHER CERTIFY that 1 have r+o intentw~ to retum to my former domivle, and I intend to remsin in FORT
PIERCE, SAINT ILICIE COUNTY, FLORIDA, permanently.
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~ paul P. llarceau
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~ Sw~n to ~nd wbsuibed before me this lit ~r ~ AQs~l , 19~4. `
ROaR rOITRA:
C~IT Cpt~t Notary Publk
by D.C. My Com~nlssion ~xpins
tTi w~eaaNr M~isah asi ~i~l lil~i wMl~ dNk lw~aif Cwet, awi ~ wNl~ Tavc A~w,1
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