HomeMy WebLinkAbout2151 Declaration ot Domicil~ and Citizenship 18~~
TO THE STATE AND ~OUNYY TAX ASSESSOR,
ST. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile and Citize~ship in the State of Florida that I am filins this day in sooordanos and
in oonformity with Chapte~ 222, Section 224.17, Florida Statutes. ~
I was forme~ly a legal resident of l~Itit~C BlaCb NeM Yort
(C;ty) (Stah)
14 Hin~ Road
and 1 resided at - . Howeve~ 1 have chan~ad my domidle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since lat day of
July 69 A•B•C• lbbile Court
, 19 , and i reside at ~610 poapaao Coust
(Street and Number)
FORT MERtE, S/11NT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citi2enship, actual legal residenoe and domiale in the Stats of Horida. 4
~
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment ~
i
r at former domicile, ~emoval of family to new domicile, purchase of home, etc.) ' ;
t
~stabliahiaQ reaidence ~
Bntaring Deborah petersee is lath grade
" Ly~r?Petersen in tbe eth grade
~
FILED AND RECORDED ~
ST. LUCIE COUNTY, FLA. ~
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18~,~ :
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' '~9 JUl I I PM I: y 0
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' f20~;t.a t•~~TR :S
~ CLEi2K CtRCUlT COURT
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1 FURTHER ~ER71Flf that I will oomply with all othet requiraments of a(eqal ~esident of this Sfai~.
~ 1 FURTHER CERTIFY that 1 have no intention to return to my former domiG+~e, and I intend to remain in FORT
~ PIERCE, SAIN'f'~!C~~'~UNTY, FLORIDA, permanently.
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~ ' ~ Jeanae peteraen ( llra Maltes )
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~ 69
~ Sworn b~nd wbscribed befor~ me this llth d~y 111~r , 19 .
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