HomeMy WebLinkAbout0941 Oeciaration ot ~omicile a~d Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. lUC1E COUNTY, FLORIDA:
This is my declaration of ~omicile and Citizenship in ths State of Florida that I am filing this day in sooordanae and ~
in oonfo~mity with Chapter 222, Sectio~ 42Z.17, Florida Statutes.
1 was formerly a legal reaident of sah9II90t8ay NBw YOrk
(CitY) (S1ate)
and t residad at 1535 FOet9T AVe . However 1 have chariyed my domidle
(Street and Number)
t
to and am a~d have been a bona fide resident of the State of Florida sinoe AuK1~et day of ~
~ ,~9 68 , and i reside ar 350~ Diokene Street
(Street and Number)
FORT RIERCE, S~INT LUCIE COUNTY, fIORIDA
and this statement is to be taken as my declaration of citizenship, actval legal residence and domidle in fhe State of Horida.
pnse~t here any peNinent facts, such as sale of property or busineu, or relinquishment of employment
at forme~ domicile, remaval of family to new damicile, peird~ase of home, etc.)
Establishing'reeidency ~ citisenship ~
~ILED ~P~D RECORDEO
ST. IUCi~ Cf;U~1TY, F! A.
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~S~S
'69 t~C ~ 7 P~1 ! 2: 2 4
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:n~~~r {~OIT S
il
CIERK C~RCUIT OURT `
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I FURTHER CERTIFY that I w111 oomply with all other requi~ements of a le~a! resident of thia State.
I FURTHER CERTIFY that 1 have no intention to return ro my former domi4le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
' ?~~r~~~~
(Nar~,e? George Hart .
(Address)
• ~ Oatober 19 69
'Swort?~ ~,~lbsaibed before me this 7 day of , -
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' i7 • _••I~• J~F.4'~ ' .
~ =.~RI( GR~
~C~RT Notary Public
,t R~ "Y
By ~ 1 D.C. My Commission expires
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~ ' `u!~21~•, : ' _ . .
(Te b~ uacut~d in duplicah snd ori~inal fil~d wlt1~ Cl~elc CircuH Court, and duplicat~ wifh Tax A~aor.)
~3 aoac180 ~ 9~9 .
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