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HomeMy WebLinkAbout1673Declaration of Domicile and CitizEin~i~i~p TO THE STATE AND COUNTY TAX A-:iSESSOR, SS. 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 .n conformity with Chapter 222, Section 222.17, Florida Statutes. I was formerly a legal resident of Indianopoli8 Ind. (City) (State) and I resided at 462 A. Barwick Street However I have changed my domicile (Street and Number) to and am and have been a bona fide resident of the State of Florida since Aulzust 23 ~ day of t9 69 ,and 1 reside at Gulf Stream Apt.id 615 So. Ocean Dr. (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 domicils in the State of Fbrida. (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.) Placing children in public school Steven and Theresa Cummins ~F14~P ~r~a~ CpROEo sr, tbC ~ -C-0 ~~tY,-- Ft~. - r~~-~~r. v~IZIFI~© 182333 '69 AUG 2 7 PSI ! 2 : 18 ?o~r~? ;:;Q~ Ct_E~iK ~iRCUN' - OUff•T 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 domigle, and I intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. (N • ) Dorothy Cummins (Address) ..; .- Sworn to and subsuibed before me this ~Z day of ~:om19t , 19~.~. ROGER. POITRAS ~~ - ~_ J ~,G1iI~GU1T COURT Notary Public g~ '- D.C. My Commission expires (To be executed in duplicate and original filed with Cleric Grcuit Court, and duptiats with Tax Assessor.) ~~7~ ~~.6t?i _ _ __ _