HomeMy WebLinkAbout1720Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sj. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florids that 1 am filing this day in aooordanoa and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Bristol Tenn.
(City) (State)
and I resided at 609 Vance Drive However 1 have changed my domiale
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since Aug' 27 day of
19 6~, arxl I reside at 605 Ohio Avenue
(Street and Number)
FORT WERCE, 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.)
Securing fob ,
f1~P +~N~ RECOR F A+
ST'S UCORr OUN~.~f EO
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CLERK EiftCUlfi COU
FURTHER CERTIFY that t 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 domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name) Fred Thomas
(Address)
;.$iivoPl;;tc•stK}:~ibscribed before me this ?R day of - A_,~~Lts~t - , 19-b-~
;~--- ,: _
.. .ROGER POR_ tIAS
= •_ SRC Notary Public
~..
gy D.C. My Commission expires
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Ro bo oxocutad in dupliub and original f+ilod with perk Cirarit Court, and duplioato with Tax AJ
a~i~9 ~~i7~8
tic. 13