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De~la~ation ot Domicile and Citizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR,
S1. lUC1E COUNTY, FIORIDA:
This is my decla~ation of Oomitile and Citizenship in the State of Flo~ida that 1 am filinq this day in ecoordanoe and '
i~ oonformity with Chapte~ 222, Settion 222.17, Florida Statutes.
llaterran west Va.
I was formerly a legal ~esider~t of -
(CitY) (Stst°)
Rt . x 1, Box 303
and 1 ~esided at - Howevef I hsve chanyed my domicile
(Street and Number)
~ „ to and am and have been a bona fide resident of the State of Florida since ~?Psil 1 day of
_ , i9 69 , and I ~eside at 2212 SOUth 40th Sttcet
(Street and Number)
FORT ~IERCE. SAINT LUCIE COUNTY, RORIDA
t
and this statement is to be take?~ as my declaration of citizenship, actual legal residenoe and domicile in the State of Florida. '
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~lacing chiidren in public school ~
Micbsei Ds~id Seaco REC~R~~D'
Ronoie j•ee Sesco 5~~~~~
~ C~ Ea'TF ~OLA•
Donald B~erson Sesco RF.CO~ ~
1:< a • y8
. ~
, '69 ppR Z ~ ,.~y,~
t~o~=.~~ ro~'~ ~o RT
CL~RK CIACUIT
I
!
~
~ 1 FURTHER CfRTIFY that 1 will aomply with all other raquirements of a le~al reaident of thi: State.
I fURTHER CERTIFY that I have no intention to ~etum to my former domicjle, and I intend to remain in FORT
rs-
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
,,~~~~~-I<<- ~ / ~r'.Q~
(Name) Beasie ~larie Seaco
.~t~~r f' •
,ij~t•.~` . .
- ra r' ~C~fQS3~
_ . . , 1969 f
• S~rorh 1o_q~+d ~uliscribed before me this 2~t day of April i.
,
• . ' . ~ .l+~ ~
f: L~' i
~ ~s
~K C~ Notary Public
gy D.C. My Commission expires +
;
~
(Te b~ ~x~wNd i~ duplicat~ a~d orioi+ul fil~d wilb Cl~ek Cka~i1 Cour~, ~ed dvplic~N w~ Tax ~I~o~.)
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