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HomeMy WebLinkAbout0713 Declaration ot Domlc~le afld Citizen~hlp , TO THE StATE AND COUNTY TAX ASSESSOR, Si . Lt1C1E COUNTY, FLORlDA: This is my dectaration of ~omicite and Citizenship 1~ ths State of Flo~ida that 1 arr~ fili~p this day in aaordancs and in conformity with Chapter 222, Section 222.17. Florida. Statutes. Staff d~ Fac. Betn. I was formerty a legal ~esident of ~ G~nery Dept. Ft. Sill~ Oklehome 735 ~State) and 1 resided at th@ sbOV9 ( Militarv ) However 1 have chanyed my domiCile (SNeet and Number) . to and am and have bee~ a bona fide tesident of the State of florids sinoe day af purchased property in Port St. Lucie, St. Lucie County, Florida OCtOb@T ~ ~q 68~ and I ~eside at - thR A~~no Mi i i tar~Rddr,98 (Street a~d Numbe~) fORT PIERCE, SAINT LUCIE COUNTY, ROWDA and this statement is to be taken as my declarotion of citizenship, actual legal re:idenoe and domicile in the State of Ho~ida. (Inse: t here any pertinent facts, such as sate of property or busineu, or relinqaishmer~t of employment at forme~ domicile, removal of family to new domicile, purchase of home, etc.) We are currently building a home on the above described property and intend to settle in ~s seid home upon my retirement. ' FtLED AND RECORDED - ST. ~UCtE COUNTY, FLA. ~?:=Ct?F~D `l~r~lriED 1'~"7'~5 '~9 N1a`? ? PM _ !2 : 40 ~ :Ov~ i: =t? R:.S CLERK CiRCUtT COURT , 1 FUR7HER CER7IFY that I wiU oomply with all other requirements of a legal rosident of this State. 1 FURTHER CERT(FY that t have ~o intention to retum to my former domivle, and ! intend to remain in FORT PIERCE, SAINT LUCIE COUMY, FLORIDA, permanently. (Name) Sa De~vhirst . J ~ ~ ~ C~~~~~~ . ~ = (~W~ Kathleen D. Dewhirst _ ~ . ~ Svtiorir'so a~i4-~ubscri6ed before me this day of 19~~ - _ _ : - s:. 't ROGfR RO~#AS ~ Gti~tY COUR? Notary Public • - w -i , , , r~ gy D.C. My Commluion expires .,i,. (To be oxecuted in duplicat~ and ori~insl fited with Clerk C'uwit Cou~t, O R d 1 ute wit6 Tax Assessoal a~K~~~ ~ .7~~ - ~ - ~ - _ _ _ ~ . ~