HomeMy WebLinkAbout2076 Declaration ot Domicile a~d Citizenship
1$042~
TO THE STATE AND COUNTY TAX ASSESSOR, .
Sl. IUCIE COUNTY, FIORIDA:
This is my detlaration of Domicile and ~itizenship in the State of Flo~ida that I am filing thiY day in acoordante and
in oonformity with Cfiapter 222, Sectio~ 222.17, Flo~ida Statutes.
1 was formerly a legal resident of KCM Y~l~ Cit~ ~M York
(City) (State~ 1
and 1 resided at ?090 Bi~i Dri~e B~fC4dOM Hcwever I have changed my domitile '
(Street and Numbe:)
to and am and have been a bona fide resident of the State of Florida since - lit day of
_ Julq , 1969 , and I reside at Rt 2 Bo~c 1763 Li~kt~ood patY
(Street and Number)
FORT MERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Ho~ida.
i
(Insert here a~y pertinent facts, such as sale of p~operty or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) '
BstaDiishing residenct aad will enter children in achool -
FILED AND RECOROED' !
ST.~~~~~n VERlF ~D`A °
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18042`.~
'69 JIlI 10 P~ 3:40
;n' ~n r•~tTr~:.
~LERK.CIr~CU1T COURT
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` I FURTHER G'ERTIFY that 1 will comply with al) other requirements of a laya) resident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domiGle, and I intend to remain in FORT
~ PIERCE, SAINT IUCIE COUNTY, FLORtDA, permanently.
~ ~:,>>:~r;,;r,
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~ _ = ~ (Name)
~ , ~ - , , = .ti' Lenneth Castae r
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; . ~ (Address)
g ~ ;~r..
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_ "'9Mit#i~~fo and subscribed before me this 10th day of Jnly ~ 19 ~9
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ROGER rO1TRAS
~ CIRCUIT C URT Notary Public
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~ By `'"~'~'~"e' D.C. My Commission expires '
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~ (ie b~ ~x~euhd in duplieat~ and ori~inal til~d witl~ CMelc ~iraif Court, and dupliea» with Tax Aswaor.)
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~ d00!! O PAGi ZV 74
No. 13 ' • .
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