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HomeMy WebLinkAbout2582Declaration of Domicile and Citlzenshlp 182993 TO THE STATE AND COUNTY TAX ASSESSOR, 51. 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 in conformity with Chapter 222, Section 222.17, Florida Statutes. 1 was formerly a legal resident of L-nnf field Mass. (City) (State) and I resided at 1? Junipttr Road However I have changed my domicilo (Street and Number) b and am and have been a bona fide resident of the State of Florida since ~d day of July , i9 69 and I reside at 301 Onerbrook Drive Pt St Lucie (Street and Number) FORT MERCE, SAINT LUCIE COUNTY, RORIDA 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 b new domicile, purchase of home, etc.) 182993 8ntering Brenda Kay in the 7th grade Bstablishing residence FILEO AND RECORDED ST. LI.tCIE CQUNTY, FLA. '6~ S~~ I S AM 9 : 0 =nv~? F'O~TR:aS CLERK CIRCUIT COURT 1 FURTHER CERTIFY that 1 will comply with all other requirements of a legs! resident of this State. I FURTHER CERTIFY that !have no intention b return to my former domicjle, and I intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. -~ 1\~ i ,~ ~ _ ~ i\ ~~ '_:. ,'. -' - . ~ ~''•; Si iorh tct'and'subsaibed before me this ... ... Roc~ER roRRAs CIRCU/~R COURT By °~,~~ (~ ~ D.C. (Name) l~oodro>N wm. Dunlop (Address) 15th da of Septe>sber 19 69 y Notary Public My Commission expires (To bo oxecuhd in dvpliute and e~eiRinal filed with Clerk Cirwit Court, and dupliuh with Tax Asaeaor.) ~. ,~ eooK1?9 ~2