HomeMy WebLinkAbout0592 Dacla~ation at Domicile a~d Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR, ~~848
Sl. LUCIE COUNTY, FLORIDA:
This is my detlaratio~ of Domicile and ~itizenship in the State of Florida that 1 am fiiin~ Mis day i~ aaoordanoe and
in oo~formity with Chapter 222, Section 2Z2.17, Florida Statutes.
I was formerly a legal resident of Csrtsb~d Ncr ~L~c±cn
(City: (Stat~)
and 1 resided at _?~~0 PlOridt Street _ . However 1 have chanqed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Ftorida since -21id day of
Ma~ ~ ~q 69~ and i ~eside at a006 33th Stteet
(Street and Number)
FORT Pl~t~, SAINT LUCIE COUNTY, RORI~A
and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in the State of Ho~ida.
(Insert here any pe~tinent fatts, such as sale of property or busineu, or relinquishment of employment
at fo~mer domicile, removal of family to new domicile, purchase of home, ett.)
Bstsbliab residency to enter aepheM '•Stephea Mayae Da~is'•
in the atb grade of school.
His ~~t parenta ~+iil be co~ing soon snd ~rili be
estsblishing reaidency also. F~lED AND REGORDED
ST. ~UCIE COUNTY. FLa.
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~ ~L^~K ~:FLU~' COURT
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~ 1 FURTHER ~ERTIFY that 1 will aomply with all other requiremenri of a(epal resident of fhis State.
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I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT 4
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently. i
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(Name)NOt~al1 L4wreDCt ~ i
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Sworn to and subscribed before ma this Stb day of ~y ~ ~q 69. ~
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itoocu ,r~quri~t~`:'.'
q~ER1(~C~1?~~T Notary Public
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By - D.C. My Commiuion expires
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Qe b~ I M? •a~d oei~inal Rl~d wiN~ Cl~ic Cira~it Caret, and dup~eah wilb Tax A~o~.I
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