HomeMy WebLinkAbout1694 Declaration ot Domicile and Citizenship lgpl'71 ~
TO THE STATE AND COUNTY TAX ASSESSOR.
51. LUCIE COUNTY. FtORIDA:
Thi: i: my detlaration of Domicile and Citizenship in ths State of Florida thst 1 am filinq this day in aaoordanos and
in oonfomtity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of At~i~Igto~ V3.=~°;aii
(City) (State)
and 1 resided at ^~~QO Dids Street _ . Nowever 1 have charped my domid~e
(Streef and Number)
to and am and have been a bona fide resident of the State of Florids si~ce 1 st day of
1~lal? _ , 19.~4, and I reside ar 200 Sindi~ DriYe,Port St_ Lucie
(Street and Number)
FORT NERCE, SAINT IUCIE COUNTY, RORIDA
and this statement is to be taken as my declaratwn of citizenship, actual lega) residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new dornicile, purchase of home, ett.)
Fstsblish Reaidencq for ho~eatead purposes
FILED AND RECORDEO'
ST. LUCIE COUNTY. FLa.
RF CORD VERIFlED
1801'71
'69 JUl 2 Pa i2:
`1r~'~
'i " itOGER POITRAS
j CLERK CIRCUIT COURT:
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~ 1 FURTHER CERTIFY that 1 will aomply with all other requiroment= of a le~ai resident of thi: State.
I FURTHER CERTIFY that 1 have no intention to return to my forme~ domicjle, and I intend to remain in FORT
PIHtCE, SAtNT LUCIE COUNTY, FLORIDA, permanently.
C~~~ >1/ •
(Name) Par e N. Sa~s
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~ Swor~ b and subsuibed before me this ~d dsy of .jtll~? , 19~59 ~
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~ By D.C. My Commiu'wn expires
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