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HomeMy WebLinkAbout1819 Declaration o! Dor>Rictte and Citizenship TO THE STATE AND COUNTY TAX ASSESSOR Sl. LUCIE COUNTY, FIORIDA: .l8243;~ This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aaordance and in conformity with Chapter 222, Section.222.17, Florida Statutes. I was formerly a legal resident of Duniow West Virginia . (City) (State) and 1 resided at p O Besc 2 t __ - However 1 have changed my domicile (Street and Number) to and am and have been a bona fide resident of the Stats of Florida since 24th day of August t9S~~, and 1 reside at -157 A Christenson Read North (Street and Number) FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA and this statement is to be taken as my dedarat'wn of citizenship, actual legal residence and domicile in the State of Horida. (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.) Entering children in school FILED AND REC©RDED' ST, LUCIE COUNTY, FLA. RF:r.ORD VERIFIED 1~3:~ '69 SEP 2 PM !2:04 ,~"~ RQ~CR r 0lTR,;S CLERK CIRCUIT COURT 1 FURTHER CERTIFY that I 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 I intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ^T (Name) I~lrs.CALVIN HBSTBR (Willie Mae) (,Address) Seete>zber 194-. Sworn to and subscribed before me this 7*+d day of COGER P,~ti~ l~~`j~~i, ` .. Nota Public CLERK,~+~r. I.Q)P •,%~' '- rY -~ - ~ ~~` g ~ ' ~ D.C. My Commission expires ,,F~ ~ i-: (To bs exo~t `original filed with Cterk Ci ~ R Court, and duplicate with Tax Assessor.) . a '~'~•• ::~L~,G • i00~ 179 PA6F1~1fi S ~ ~;-,...,; . L,._Y _ -- - ------ - - ------ - - -