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HomeMy WebLinkAbout1117Declaration of Domicile and Citizenship ~ $~~30 TO THE STATE AND COUNTY TAX ASSESSOR, S1. IUCIE COUNTY, FLORIDA: This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aoaordanoe and in conformity with Chapter 222, Section 222.17, Florida Statutes. I was formerly a legal resident of ~ Iia r~CourthOdat (City) and 1 resided.at ~= S1W (Street and Number) New Jerst~ (State) However 1 have changed my domidle to and am and have been a bona fide resident of the State of Florida since AVg q_ day of 19 69 and 1 reside at lUl KO• 39th Street (Street and Number) FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida. (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.) Anteriag children in public school Harry Janes... Ma Marie.... Hustoe Jeanette A ... FILED AND RECORDED ~ ST.ILU QR~ OUNTY, FLA. ~~RIF.EO t t '69 Al1C 15 8p~~~Q ~ 21 } ROGE POIT ..g CLERK CIRCUIT COURT I FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State. I FURTHER CERTIFY that I have no intention to return to my former domidle, and I intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ( ame) dreg Marie Huston ,;, ._ :;~i-'' . t (Address) ,;; #'.Sworn.to~a~d.subsuibed before me this as day of AuR , fq b9, ;. ~ .- ~. :~~,r ' rolTeAS ;. ~ CIRCtgt COURT ., By - D.C. Notary Public My Commiuion expires