HomeMy WebLinkAbout2946 Oeclaratlo~ ot Domicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
S1. LUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citize~ship in the State of Florida that i am filing thls day in acoo~danoe and
in oonfo~mity with Chapter 22Z, Section 222.17, Florids Statutes.
1 was formerly a legal resident of Arifngton Vs.
(Ciy) (State)
and 1 resided at _ 1518 2217d Stteet , SO. , l~Iovvever 1 have changad my domiCile
(Street and Numbe~)
April 4
to and am and have been a bona fide resident cf *he State of Florida sinoe ~ day of
440 Priaa ~ists Hl~d.
, 19 69, and 1 reside at
(Street and Number)
FORT PIERCE, SAINT tUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal reside~ce and domicile in the State of Horids.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Batsblishing reaidency
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I FURTHER CfRTIFY that 1 will comply with all other requl~ements of a leyal resident of thts State.
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1 FURTHER CERTIFY that I have no intention to retum to my former domitile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. .
~~~J ~J~.. ~.R.,t~ l ~dL.~
(Name) ViDClZ1t AdQ
~
~ 1rlarguet 0, Ade
~ Swor~ fn a~d se~b~cstbet~ before me this 23 day of Apl~1 ~ ~q 69 _
:j• '•~Uc: • `Y ' Y y~
~ itOb~Rl 7 v "
r~, ~ Notary Public
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By O.C. My Commission expir~
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"~%y .
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(To b~ ~cuf~ in dupllub snd oripinal fil~d witb Cl~elc Circuit Cou~f, and dupli~afe wifh Tax AtWaor.)
- ~ 8oox 176 ~~~t 2943
Nn. 13
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