HomeMy WebLinkAbout0365 ~s~lar~tion ot Domiail~ and Citizenship
TO THE STATE AND CQUNTY TAX ASSESSOR, .
ST. IUCiE GOUNTY, H.ORIDA:
This is my dt:claration of Oomicife and Gtizen:hip in the State of ftortde that 1 am fi~inq this day in eaardana and
in aonformity with Chapter 222, Saction 342.17, Florida Statutes.
I was formerly a te9ei ~eaide~,r of potter Spring• ~Qeorgia
(Ciy) ~ah)
and i msided at Rt. 1 . Nowever 1 have cha~qsd my domldle
(Strset and Number)
to and am and have been a bona fide resident of the State of fiorid~ sinoe - • 3 day af
, 19_fi9__, srd 1 ~eside at 101 i Y8y1'lO1Re1" 8o8d
(Sheet snd.~lumber)
FORT MERC~, SAINT WClE COUI~ITY, tLORiDA
a+~d this statement is to be taken as my dedaratio~ of citizenship, actual legal rssidenoe and domicile in the State of Florid~..
qnssrt here any pertinent facts, scuch ea sale of ~xopsry or business, or relinQuishmant of emplayment
at former domicile, removaf of famity to :~ew domiale, purchase of home, eic.)
Setablishing residenoy
FiLED ANO RECORDEQ
ST.~V~QRD yuR1F1E
LR~ .
'69 SE4 25 PM 3:30
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Rp.'G~ ~ IT CQUft'f '
- CLERK CIR
i FURTHER GHtTiFY thet i will oomply with all othe~ rsquiremenfs of a le~al res{dent of this State.
1 fURTHER CERTIFY that I have no intention to retum to my former domiGie, and I intend to remain in FORT
PtERCE, SAINT LUCtE COtINTY, fLORIOA, permanently.
.
~ pva Hert! Frenk
Granita
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'°,e~~~ ~,c',~.~.
,s:,;,-`„S~wom~to and wbsuibad before me this 25th day ~ 3epte~ber 19 6g
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• • ~f`w.~M . .
~R COURT Notary Publk
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$Y O.C. My Commission expi?es
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