HomeMy WebLinkAbout2038Declaratlo~ of Domicile and Citizenship
182610
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filirp this day in aooordancs and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of
Beauford
Georgia
(City)
and 1 resided at Church street
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since
March Iq 69, and 1 reside at 635 North 2nd street
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
day of
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, purd7ase of home, etc.)
Establishing residence
Entering child in High school
FILED AND RECORDED
S ~. LUCIE COUNTY. FL.:.
182610
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•~ it .._ ~OITRAS
CLERK CIP.CUIT COURT
1 FURTHER CERTIFY that 1 will comply with all other requirements of a loyal 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.
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(Name)
Stephen Lenczewski
(Address)
before me this 4th day of September , ~q 69
Notary Public
By
D.C. My Commission expires
(Te be executed in duplicate and original filed with Clerk Grwh Court, and duplicate with Tax Assessor.)
(State)
However 1 have charged my domidle
gooKl~l9 ~20~
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