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HomeMy WebLinkAbout0948Declaration of Domicile and Citlzelnship TO THE STATE AND COUNTY TAX ASSESSOR, Si. LUCIE COUNTY, FLORIDA: 18 jg~4 This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordance and in conformity with Chapter 222, Section 222.17, Florida Statutes. I was formerly a legal resident of CharlOt tQ __ Nerth Ctr~1 i sa (C;ty) (State) 1021 Garringe r Zlace _ However 1 have cha m domicjle and 1 resided at - - n9~ Y (Street and Number) b and am and have been a bona fide resident of the State of Florida since 30th day of flay tq 69 aril I reside at FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA 3400 Aye G (Street and Number) and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. (Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment at former domicile, removal of family to new domicile, purchase of home, etc.) 181gp4 Batabiishing seaidence Bntering child in school e (N me) IlTarren Higginbothao 1 RIRTHER CERTIFY that I will comply with all other requirement: of a legal resident of this State. 1 FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. _~' . n. _ : ~ - }. ._ G 4 ~'~ .. ~~ ""~;~~p~ft 1~p~~t ~u6scribed before me this ROLiE~ PORRAS CIRCUIT COURT My Commission expires (To be executed in duplicate and original Bled ~~Grcuit Cgtr~nd duplieah wish Tax Atseeaor.) 600K ~__r~luV~ PACE ((~~ (Address) 13th FI!_Ep ~Np RECORDED ST, LUCIE COUNTY, EUb, i~ECORC ~;ERIFSED '~9 arc I3 PM 3:03 ~~ I~0 JE? ?OITRAS CLERK CIRCUIT COURT day of Augu S t ,) q~9, Notary Public ?Jo. 13 _k __ '