HomeMy WebLinkAbout2930Declaration of Domicile and Cltlzenshlp 183233
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. 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 224, Section 222.17, Florida Statutes.
I was formerly a legal resident of Richfield Part New _Tersey
(City) (State)
and t resided at _ 128 Hobart Street However 1 have changed my domidle
(Street aril Number)
to and am and have been a bona fide resident of the State of Florida since - _ Oth day of
2251 N. Aederal Highway
_ September tq 69 and I reside at Ridgecrest 1-bbile Home Park
(Street and Number)
FORT MERLE, S/11NT LUCIE COUNTY, RORIDA
end this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(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.)
Establish residency
FILED AND RECOROF 0
LUC E NTY.
. i83-23
*~~ c.f P 19 AM 10:46
^ ~~
CLERK CIRCL-tT COURT
1 FURTHER CERTIFY that I will comply with all other requirements of s legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name) Ailan B. Hunter
(Address)
Sworn to and subscribed before me this 19th day of $eptetnber ~ lq 69 .
i~~iiiiaiitiii.:
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~GL>~1fK'CIRCUIT CON~~: Notary Public
gy ~ D.C. My Commission expires
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Re ' '.e~icutiri M dupliub and original filed with Clerk Circuit Court, and duplicate with Tax Assessor.)
aooK 179 ~~E 2928
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