HomeMy WebLinkAbout1563Declaration o4 ®Oit'ici~Q aRC: Catiz~~s~ip 1~2~Sg
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is roy declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of
Hicts~iile
N. Y.
(City)
10 Seymour Lane
and 1 resided at
(Street and Number)
(State)
However 1 have changed my domicile
to and am and have been a bons fide resident of the State of Florida since Julp 2S day of
19~~, and I reside at
170 Serenata Court
(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 Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Anne I~larie, Bileen Power
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1 FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFY that 1 have no intention to return to my former dom~le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
George Power
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_}~~ .... ' ,sr ~~z 25 day of Aueu3t , 19~Q.
S~v`o-rrt'to~~ subscribed before me this
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ROGER ~QiTRAS
CLIcRIf'41R~11T COURT Notary Public
GC
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D.C. :..; Commission expires
Boox 179 ~r~ 15~~
(To be oxecuted in duplicate and original filod with Clor:t Grcuit Court, and dupliats with Tax Assessor.)
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