HomeMy WebLinkAbout0557 Decla~ation ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE ~OUNTY, FLORIDA;
This is my declaration of Oomicile and Citizenship in the State of Florio. tfiat 1 am filinq this day in aooordanos and
in aonformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of ~~hester N!M YOt~
~C~ty~ (State)
and 1 resided at _ 361 Si~ss~ore Dri~l! ~ . However I have chan9ed my domkile
(Street and Number)
to and am and have been a bona fide reside~t of the State of Florida since pebruary 1 ~y ~
, t9 69, and 1 reside at 8a09 Sovth Indiaa River Dri~e
(Sheet and Numbet)
fORT MERCE, SAINT LUCIE COUNTY, RORIDA
,
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the State of Hortda. ~
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(Insert here any pertinent facts, such as sale of p~operty d~ busineu, or ~elinquishment of employment ~
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
Bstabiiahins legai sesidence and citizenahip of the State
of Florfda...ho~e purchased and fili~g for hoaeatesd e~ce~ption.
ElLED AND RECOROED ~
ST, IUCIE COUNTY, FLr. ~
. i,E_rn~n ~~E~!~~c'~? I
1'79484 i
'69 ,!s!" 16 AN i } ' 47
y~~
~UG~~ r~0'TRaS . ;
I CLEAK GIRCUIT~COURT (
r
~
~ ;
;
~ ~
¢
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1 FURTHER CERTIFY that I will aomply with all other requirements of s la~al resident of this State. ~
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I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to Yemain in FORT ~
~
PIHtCE, SAINT LUCIE COUNTY, FLORIDA, permanent{y. ~
i
~ (Name) Chariea L. Pope '
i
,
~ .~;;rt; , ' 6
~ _ •
~ (Address) ;
~ ~~s 1~:.r s
~ - ' , `:'e`~•., f1
' ` ~p . i
~ ' j~ .4aJV•;; . ~j',~~
~ 69
+ ' ti . - i ; ~9
~ ~ ~w~t~~ip0 ~tib~cribed before me this 16th day of J1~t .
- ,
,v. F,. ~ =
~ ~'n - / ~ , 'Q
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Cpi1RT Notary Public t
~ • U ~
O
~ :
gy D.C. My ~ommiuion expires j
~
~ Re b~ ~x~ail~d in duplicab and o~i~i~al fil~d wilb Cl~ek Cirark Ca+~f. and duplis~e~ wifl~ Tax As~er.I
~ ~ ao~~17~ ~ ~
No. 13
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