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HomeMy WebLinkAbout1235Dectaratlon of Domicile and Citlse~ship TO THE STATE AND COUNTY TAX ASSESSOR, Si. LUCIE COUNTY, FLORIDA: This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in acoordanos and in conformity with Chapter 222, Section 222.17, Florida Statutes. Moultrie I was formerly a legal resident of (City) Georgia (State) and I resided at - 9~ 7C 6th Street, HA ____. However 1 have changed my domicjle (Street and Number) to and am and have been a bona fide resident of the State of Florida since -~`? .- day of 19~LQ., and I reside at 1605 AVe H (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.) Earl Annie ldae, Ellis, Jr.,/Edward, Veronica Louise, William Tyrone, Huewitt FILED APED RECORDED ST. LUCIE COUfdTY, F! ;:. 182016 'S9 ~? ~!' 19 AM I ! : Z 4 ~,,,,~c i:a~;rR ~:©I~#~cs CLERK CIRCUIT COURT 1 FURTHER CERTIFY that I will comply with all other requirements 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. _ u ~L. ~-ret~ (Name) Ruby Lee Haewitt (Address) ~ 9 day of Au$116t Notary Public gy D.C. My Commission expires 69 19 (To ibe executed in duplicate and original Piled with Clerk Cirwh Court, and duplicate with Tax Asaeseor.) ` s i X79 ~1~34 ~. ,z = ~' nt, •. .,. •f: .(.~f • 3 ~~y-_' . ~ ,~o.eitid subsuibed before me this . _ ,t•::~