HomeMy WebLinkAbout1772 .
~ec~arat~on ot ~omic~~~ a~d CKlzenshlp j~'65p,2
TO THE STATE AND COUNTY TAX ASSESSOR,
S~. LUCIE ~OUNTY, FLORIDA:
Thia is my declaration ot Oomicile and Citizenship in the Stats of Flo~ida that I am filinq this day in aooordante and
in oonformity with Chapter 222, Section 222.17, Florida Statutes.
1 was forme~ly a legal resident of Pltinfield Ind.
(City) (Stet~e)
~709 B. Nafe Street
and 1 nssided at . However 1 have chan~s~! my domiC~le
(Straet and Number)
to and sm and have been a bona fide resident of the Stab of Florida since 31it ~y ~
March , 19 69 and 1~eside at(Tea~p.)10T YacLt~ieM La~e
, (Street and Number) ~
FORT MERCE, SAINT LUCIE COUNTY, RORIOA
and this statement is to be taken as my declaratio~ of citizenship, actual legal residenoe and domiale in the State of Florida.
pnsert here any pe~tinent facts, such as sale of properiy o~ busineu, or relinquishment of emptoyment
at former domicile, removal of family to new domicile. purchase of home, etc.)
Beteriag DeBnna Rte ~ottell in the 2nd grade
Mr Derriil Hottell in e~pio~ed Aaaiag Jol~so~ Accouatics
a~d is beiog transferred to tbe weat Bo~?at• tbe daug,hter
ia being enrolled io achool ber~( Mbfie Mitb relati~res ia ~
order aot to ~iss sny scbool ~ fIlEO AND RECQRQE~t°
~T. ~UCIE COUNTY:~ RtJ~:`
RFCORD VERIFIED
_ 1'?+6502
'69 APR 7. IW 9: I3
ROG£R r'OITR~
CLERK CIRCUIT COUBTj
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1 RIRTHER G~RTIFY that 1 will comply with all other requiramenis of a lepal resident of this State. ~
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1 FURTHER CERTtFY that 1 have no intention to retum to my former domi~ile, and I intand to remain in FORT {
PIERCE, SAINT NJCIE COUNTY, FLORIDA, permanently. ;
~
.s+r:ri.~ ~1~/.~!'~7, {
, . - "J~, ;
. ' ~ - ~ , Rebecca Hotteii ~
1 •y.;y'--•*-/''~ ~I-
~ , t~ ~ _ ~ ~1 - (Address) r
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. ~r•.._..•' t
4i~c'q~1,tq,•a~+ticl subsuibed before me this 7tb day April 19 69 .
ROG r011'RAS
GRCUIT CO Notary Public
BY G~~"'~"~'~ D.~. My Commiuion expiros
Re b~ ~oc~crNd ie d~plical~ a~el o~i~al fiMd wilh Ct~rlc Cin~i~ Court, snd dvplkaN wilb Tax A~~.1
lia. 13
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