HomeMy WebLinkAbout0809 Declaration ot Domicfle and Citi=enship
TO THE STATE AND COUNTY TAX ASSESSOR, - ~
Sl. lUC1E ~OUNTY, FLORIDA:
This is my declaration of ~omicile and Citizenship in the State of Florida that I am filinq this day in aooordancs and
in cor~formiy with Chapter 222, Section 222.17, Florida Statutes.
Dothan Alabama ~
I was formerly a legal resident of i
(Ciy) (State)
Route 1
and 1 resided at _ . However I have chan~ed my domic3le
(Street and Number)
to end am and have been a bona fide resident of the State of Floride since October day of
, 19~_, and 1 reside at 51 ~~~~~+113ag-B1.1r3~-ROB~
(Street and Number) -
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA ~
and this statement is to be taken as my declaration of citizenship, acfual legal residenoe and domicile in the State of Horida.
(Insert here any pe~tinent fads, such as sale of property or business, or ralinquishment of employment
at former domitile, remova) of family to new domicile, purthase of home, etc.)
Pleoing child in public~echool - Billy ~anegloQar
~
F'11.ED AND' R~CORDEp=
ST. LUCIE COUN7Y. FLA.
- ~MCORD VERIFIED~
18358
'69 OCT . 6 AM 10: 43 .
. ~
;
I; F;OGE~ ' COURT:
I CLERK CIFtCU T
I
I
~
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I FURTHER CEltTIFY that i wili aomply with all other requiremants of a lepal reside~t of ttiis State.
i FURTHER CERTIFY that I have no intention to retum to my former domirjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ , ~JC~L'F-~/
ame)Yary 811en weneglover
(Address)
6th October 69
Sworn to end 3ubacribed before me this day of , 19 .
.:2 , 'Y-~;~
' ~g,~.: tVota Public
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By D.C. My Gommission expiros
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