HomeMy WebLinkAbout1594 Declaration ot Domicile a~d Citizenship ~
TO THE STATE AND GOUNTY TAX ASSESSOR, ~
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of ~omicile and Citizenthip in ths State of Florida that I am fili~g this day in aooorda~os and
in to~formiry with Chapter 222, Settion 222.17, Florida Statutes.
1 was formerly a legal resident of Bilti~0r~ ~1i=~?l~ild
(Ciy) (State)
and I resided at _ 21S Btat 33rd Street _ . HoWever i have chang~d my domidle
(Street and Numbe~)
ro and am and have been a bo~a fide ~esident of the State of Florids sinoe ~T 1 dey of
_ , 19 6a, a~ i~~;~ at 180~ Nelaleuca Dri~e
(Street and Number)
FORT PI~CE, SAlNT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration. of citizenship, actua) legal residente and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchsse of home, etc.)
Bstablishin~ re~idence and citizenahip ia the State of Piorida
as of Msy 1, 196a~ at wbich ti~e I legally ~o~ed to Ft. pierce,
Florids. • FItEO AN~ RECORDED~,
ST.RECORO VERIFYED~~
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_ 1'~'8~53
~ : I 0 ~
'69 MAY
~ ROGE ~OITRAS
~ CLERK CIRCUIT COURI`~
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1 FURTHER ~ERTIFY that 1 wil) oomply with all other requiremenis of a(eyal resident of this State.
1 FURTHER CERTIFY that I have no intention b retum to my former domicjle, and I intend to ~emain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
.i ~ J •
(Name) Hesbett P. Hah~
" • ~ ~ . : (Address)
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. Sworn to and iiibsuibed before me this ~n day of -~Y , 19 69 ,
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•~'..~~c1.'•"''"' ~
t'.~C CIkCNR C RT Notary Public
By ~.C. My Commiuion expires S
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R~ b~ ~oacw~d M dirplicaM and eri~inal fil~d wi1i~ Cl~ek pnari~ Co~r1, aed dvplicat+ wid~ Tax /1t~o~J
~iTT ~159~ °
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