HomeMy WebLinkAbout0410 Oe~laration pt Domi~ile and Citis~nship
TO THE STATE AND C'OUNTY TAX ASSE'S50R,
Si. LUCIE COUNTY, FlORIDA:
This is my decleratior? of pomitile and Citisenship in th~ Sta» of florida that 1 am filinq this cl~y in aooordanw ind
in conformity wiNt Chapt~t~222, Ssttio~ Z2?.17, Horida Statutat.
1 wes to~marly a Ipal resid~nt of Ha~d~l1~ COYLII~OtiOIIt
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and i ro~ided at - 263 AVtg1UC Sts'ast ~w
. (Str~t and Numl~erj
ro end em a~a! havs bs~sr~ a bona fide ratkl~nt of th~ Stats of Flalds sinoe 'At~. 2'T ~Y ~
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64.; and 1 roside ~t ?9.1-$~13t ~v~nus ~ S~ -~e~~ 8t T.nei A
~ (Shest and Numb~r)
FORT l~C~. SAINT LtIC1E CO~MlTY, /LORIDA -
and this ststeneent is to be taken as my dsdaration of dtinsnship, actuel lega! reside+~oe and domidk in th~ Stat~ of Horida.
AnsK? h~re a~y p~rtinent facts, such as sala of properf~?~or businsss, or relinqui~ment of employm~t
at former domidle, mnwva! of famlty to new domk;ie, purchs~ of horr~e, stc.) .
Sstablishina resiasaoy ~ _
~ ~r~L~p AND RECORa~.D'. - -
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ST. Lt1C1E COUNTY. f1-A. -
RECORD VERtF1E'_D~ _
'69 S~P ZS AN !0 ~ 33
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~ RAGER 'OITRAS
CtERK CIRCWT CB~RTI -
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' i R/RT~iEit GfiRTIFlf thet i w111 aomply with a!1 other rrcpilnsrr~nl=.of a lepal nsklent of this Sfat~.
1 FURTHER CERTIFY that 1 hava no irrtentio~ ta retum to .my fonner dom;cjte, and I in~end b remstn in fORT
PIERCE. SAiNT U1CIE COUNTY, FLORIDA, permanently. .
_ Sarle w. BYa?rts
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poaYOa~q~ Ida P. B`rarts - ~
Sworn to.~nd wbsuibsd before me this 26th _ 3~~ttsb~]l' ,q 69 -
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