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HomeMy WebLinkAbout1827 Declaratlon ot Domi~il~ and Ctttz~~ship TO THE STATE AND GOUNTY TAX ASSESSOR, ~;~"~+~V St. LUCIE COUNTY, FLORIDA: - This is my declaration of Domicile and Citizenship i~ ths State of Floride that I am filinQ this day in aooordanos ind in oo~formity with Chapte? 222. Section 222.17, ftorida Statutes. ~ ! was formerly a legal ~esidant of Tad~ KitY) tState) and 1 rosided at _ g't Z ~i~l~Ott~t . However 1 hsve charqed my dornkik (Strest and Number) to and am and have bee~ a bona fide resident of tha State ai Florida since Z9~ day of , 19 ~9 , and I reaide at 104 8 Priaa Yisla 81~d~,.. (Shaet and Number) FOR? PIERCd'q SAINT WCIE COUNTY, RORIDA and this statement ia to be taken aa my dedarotion of citizenship, actual legal reaidenoe and domicile in fhe State ot Horida. 4 i (Insert here any pcrtinent facts, such as sale of property or business, or ~elinquishment of employment f at former domicile, removal of family to new domicile, purchase of home, etc.) B~tesiag B321~ Lee Sbanks i~ the 3rd grade _ " Braest Bdvard Shan]~a i~ the ilth grade ~ F~~EO AND RECORDEO` ST. ~UCI~~ COUNTY, Ff.1~; RECORD VERIFIED 1'76S4y '~9 AP(t 7 pH t2 ; 5~ ROGcR FOITRAS e~.ERrc ciacuiT couRT~ ~ 1 FURTHER CERTtFY tfiat i will compiy wifh atl other requirements of a le~al rosident of this State. ~ ~ f - i FURTHER CERTIFY that I have no intention to retum to my former domitile, and I intend to remain in FORT € PIERCE, SA1NT l,UCIE COUNTY, FLORIDA, permanently. • ..~,~Fa~,if~f~ . . L ~ F 3., t1 f,+ " _ - . . . J ~ ~ ~~VYI ..~K~; ~ ~ X /-~1 ~~'~r~''• = Jeannette ~ea„ Shants ( Mrs. Qale ) ~ • ~F , "~?r ~ . ~ 'C-• ~ - ~ ~ - f ~ ~ ~ ~ - - * ,i ` : . (Address) _ ~ , ~ . • Svvorn to and subscribed before me this 7th day of j r~s il 19_ 64 . rOtTRAS j ~ Notary Public ~ . BY D.C. My Commission expires tTa b~ ~ac~ewrd in duplicaN and eti~inaf fiNd wilb CM~Ic Grorif Cewt, and d~ wiN~ Tax A~ra „ ~i7~ ~~f18~4 `~'~T°~` ~~w F3 ,ry, . . . ~ . . . . ~~~~~i2?°~~~~~ ~ , , '~krv . . ~ '~'w;f,~~.»~'.''~i -