HomeMy WebLinkAbout1357Declaration of Dorlhicile and Citlzelnship
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TO THE STATE AND COUNTY TAX ASSESSOR,
St. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of Braintree Wa8 S .
(City) (State)
and 1 resided at ~ 741 Wash. Street However 1 have changed my domicile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since UIIB 0 day of
19-b~, and I reside at 108 Weat Prima Via+a Blvd _
(Street and Number)
FORT PIERCE, 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 Florida.
(Insert here any pertinent fads, such as sale of property or busir-ess, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Eetablis~ing residency
FILED AND RECOROEE>!}
ST. LUCIE COUNTY. FLA:
RECORD VERIFIED
18,2996
'69 AUG 21 PN 2:45
c
icOGf=R POITRAS
CLERK CIRCUIT COURT
FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
L ~r`! Q
(Name Warren F Thain
Laura Elisabeth Thain
- ~ (Address)
:-~~yeiom. ~'arid.~uribed before me this 2 ~ day of AuQL18 t , 19 64.
4.
i ~
u- ROGER f' D Notary Public
.-> ~; ~K
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BY ', D.C. My Commission expires
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. - iTo bo oxacuhd in dupliuto and original filed with Cleric Cinwit Court, and dupliu-fro with Tax Asaesaora
Pic. ~1