HomeMy WebLinkAbout2125 Declar~tion of Domlcil• and Citisensh~p j~+~'~g
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. lUC1E C4UNiY, FLORIDA:
This is my deciarratio~ of Domicile and Ctize~ship in the Stats of Florida that 1 am fiiin~ this day in sooordanae and ~
in aonformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
I was formerly a legal resident of Yonl~era Nex ?or~C
(Ciy) (S1a»)
and 1 ~esided at - SZS Ri~!=dale A~?!. . Howevef 1 have tfianqsd my cbmiCil~
(Straet and Number)
to and am and have been a bona fide resident of the Stats of Florida sinoe le ~ItlGh 1969 day of
, iq , and I ~eside at ~Z91~ Pi~~a~ Dri~e
(Sheet and Number)
FORT NHtCE, SAINT LUCIE COUNTY, FLORiDA
and this statement is to be taken as my declaration of citizen~ ip, actual legal residence and domicile in ths State of Horida.
(Insert here any pe~tinent facts, such aa sale of property or business, or relinquishment of employment
at fomner domicile, remova) of family to new domicite, purthase of home, etc.)
SHARQd ZAGBR 9~~ars of age FILEp ANO RE~~Y~~LA-
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i RJRTHER CERTIFY that I will comply with all other requiraments of a Isqai rosident of thT: State.
I FURTHER CERTiFY that I have no intention to retum to my fom~er domicjle, and I intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORI~A, permanentiy.
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S~ANDRA Z~A(iBiL (lisi.) Htr~t~
. (Name)
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. . 1913 Pairra~ Dri~t, Pt. Pierce, Pla•
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. (~lddress)
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~ Sworn~to' qnd. iubsuibed before me this 10 day of Spril , 14 ~9
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; ~OQ~ • *OITRAS
WT CONRT Notary Public
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8y - D.C. My Commiuion expires
(T~ b~ ~x~wNd in d~piicaN aed ~iaiw~l til~d wMl~ CMelc Cira~if CaKt. and drplicaM wilb Tax At~ora
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