HomeMy WebLinkAbout1733 Oeclaration ot Domicii~ a~d Citisenship 1'~'647'4
TO THE STATE AND GOUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORIDA:
This is my declarotion of Domicile and Ctizenship in the Stata of Florida that 1 am filinq thi: day in soo~rdanos and
in oonformify with Chapter 222, Section 222.17, Florida Statutes.
1 was fo~merly a legal resident of Sttlebnro Y~ast~~,s~tt~
(City) (5tah)
and I resided at __19Q Li~Le.~r 3treet . Howevsr 1 havs changed my domi~ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida sinoe ~~th day of
_ l~larcb , 19 69, a,nd i~es;de a~ Schaffoer 1~lotel ~ Apart~ents
(Street and Number)
fGRT M~CE, SAINT LUCIE COUNTY, RORIDA U• S• NO • 1 P O 807[ 3da8
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in fhe State of Horida.
p~sert here any pertinent facts, such as sale of property or business, or relinquiahment of employment
st former domicile, removal of famity to new domicile, purchase of home, etc.)
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FILED ANO RECORDEO ~
ST. LUCIE COUNTY FLA. (
Bnteri~g Childeem ia School v•`-+~~F`~~ ~
1'764'74 ~
. '69 APR 3 PN l2:06
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Rt~vFR r OITRAS ~
CLERK CIRCUlT COURT
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1 RJRTHER CERTIFY that ! will oomply with a!I other reqvirements of a lepal reaident of thi: Stata. ~
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t FURTHER CERTIFY that 1 have no intention to retum to my former domivle, and t intend to ~emain in FORT ^ ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, pe~manently. ;
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( emelChrii IIaC ~bet
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. , (Address)
Svrprri'to,arid subscribed befara me this 3rd dey of - ADril ~q 69
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.ROGER rdiTRAS .
• . ~CLERK ttRC~tT COURT Notary Public
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~Y- . D.C. My Commiuion expires
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Re bi -uarwl~d ia dvplieaf~ snd oriyinsl fil«! wila Ct~sk Cirwit Coue~, and duplieata wilh Tax A~aora
g~17~ ~1730
/10. 13
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