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HomeMy WebLinkAbout1555;. Declara4ialn of ®©~+iciHe a:~sd Ci~i2;en~hi~ ~: ;' 70 THE STATE AND COUNTY TAX ASSESSQR, Sl , IUCIE COUNTY, FLORIDA: i This is my declaration of Domicile and Citizenship in the State of Florida that l am filing this day in accordance and .n conformity with Chapter 222, Section 222.17, Florida Statutes. I was formerly a legal resident of BataY1S Ohio (City) (State) 3306 Pliney Drive R. R. 2 However 1 have changed my domicile and 1 resided at (Street and Number) to and am and have been a jona fide resident of the State of Florida since une 25 ~ day of 19 69, and I reside at (Street an 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 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.) 1-+lelissa Jean Kinney PILED AND RECORDED ST, LUCIE COUNTY, FLA. ~`:CQP,D VERI=IEO 182252 '69 aUC s ~ P~ 2 : s s CLERK CIRCUIT C URT 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 domicile, and 1 intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. . i..... -' ,~~i,~f - ., - ' * .~ { . ' ~ ~ ~ " ~-. . ~} ~~ V ' ame)Bobby ugene Kinney (/address) N -.. - .t ~ '~t` --t~:: `~~~'_" ~~ ~ 25th day of August , 19_..b9 -:'~~`~r~wotria art>~aufiScribed before me this .. R~~~I~TRAS - RK CIRCUIT COURT gy D.C. Notary Public My Commission expires (To be oxecuted in duplicato and original filed with Ciork Ciscuit Court, and duplicate with Tax Assessor.) doaK 17y ~~E 1553