HomeMy WebLinkAbout0878 De~laration ot Domicil• a~d Citlzenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sj. tUC1E ~OUNTY, FIORiDA: E
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filin~ this day in aooordanos and
in conformiy with Chepter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of Arlirngton Heigh~e Ill.
(Ciy) (State)
1024 ~Sou~h Douglae , Hcwever 1 have cha m domiqle
and I resided at ~ - y
(Street and Number)
to and am and have been a bona fide ~eside~t of tf~e State of Florida since ~ ~ 3 day of
, i9
69 and 1 reside at 111 Banyon 8rive - Port St. I,ucis
(Sheet and Number)
FORT MdtCE, SAIN? LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citize~ship, actual legal residence and domicile in the State of Horida.
qnsert here any pe?tinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) .
Entering children in public school
FII.Ep AND REC~ROEO, ~
Peul A. end April L. Zinter ST LUCIE ~p~NTY FL '
?~~COR~ ~~RrFrEp a' _
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'69 JU~~ 1~ AIy I I: y
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F'`~`' f'On'RqS
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; CLERK CIRCUIT COURT'
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~ 1 RJRTHER CEitTIFY that 1 will comply with all other requirements of a le~al resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name) A . Z in er
~ • ~
, (Address)
~ T ~3 = 19 Jnne 69
Sw~t~1 to and su~scribsd before me this day of , 19 .
~ , ~kv'L' it
ROGER IK~SITRAS i
CLERK CIRCUIT COURT Notary Public ~
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~ gy D.C. My Commiuion expires '
Ro b~ ~x~ew~d in dvplieata snd wi~inal fil~d witl~ Cl~ek qrwh Couet, snd duplieaf~ wiTh Tax AsMMa.)
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