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HomeMy WebLinkAbout1769 ~ec-~Aration ot Domictl~ and Citisensh~p TO THE STATE AND COUNTY TAX ASSESSOR, - - Sl. lUC1E COUNTY, FtORIDA: This is my deciaration of Domicile and Citize~ship in the State of Florida that I am fili~p this day in aooordanc~ and in oo~formity with Chapter 222, Sectian 422.17, Florida Statutes. 1 was forme~ly a legal resident of Zivonia Michigen (Ciy) (Statal and 1 resided at _ 29738 Meson. St~ceet . HoM,eve? ~ hsye chsrqsd my domidl~ (Sheet~and Number) to and am and have been a bona fide ~esident of t~e Stab of Florida aince April 1 ~y ~ , 19 69 , and ! reslde at 307-A Hernando (Street and Number) FORT NERCE, SAINT lUC1E COUNTY, FIORIDA and this statement is to be takeR as my tleclaration of citizenship, actval legal residence end domicile in the State of Horid~. (insert here any pertinent fatts, such as sale ot property or business, ar ~elinquishment of employment at former domicile. removal of family to new domicile, purchase of home, etc.) Frank ~ Deniae Nevera Placing children in public school FII.ED AND RECOR~ED. - sT.~ ~coRe VU~~F E LA i~~°~~I 9 : ~s ! '69 AP~ Hpr R P ?TRAS CLERK CIRCUiT COUPfT ~ r ~ I Ft1RTHER GHtTiFY that i wili comply with all ofher requiretr~snts of a lepal resident of this State. 1 FURTHER CERTIFY that I have no intention to retum to my former domicjte, and i int~e~d to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanentiy. t ~ (~an„e~ Fr nk 8evere ~ (Address) ,-`Swc~n.~p atid subscribed before ma tfiis 7th ~y of April 19 69 . _ . ~ . ROGE~ lOITRA~ ` C~~RK ttRqllf t4UICT Notary Public ~Y D.C. My Commission expires ~ . ti, a. r. .x.a~ i~ d,p~car. .~a e~i~ai fil.a wN~ u«k cMa~M c.w+, .~a a~. T.x A......ra „ ~1?6 ~~7~ ~~~~~v ~ _ - f ~ v ~ ~ ~ . . ~,3~:~=~_