HomeMy WebLinkAbout1797 D~claration ot Domicifa and Citizen~hip ~8464`7
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. WCIE CC)UNTY, FLORIDA:
This is my decla~ation of Domicile and Citizenship in ths State of Florida that .1 am filing this day in eooordancs and
in co~formlty with ~hapter 222, Section 24Z.17, Fiorida Ststutes.
I was formerly a fegal resident of Na~lO! DI~sSOfit~
(City) ~a~~
and 1 resided at ROt~t! ~1 . Fbwever 1 have chan~ed my domiCile
r (Street and Number) ~
b and am a~d have been a bona fide residec~t of the State of Florida since ~9~ day of
OctQber ,~9 bq and I reside at 919 South a5th. Stseet ~ ABC Mobile Pk.
(Sheet and Number)
FORT MERCE, SAlNT LUCIE GOUNTY, KORIDA
and this stateme~t is to be taken as my declaroYwn of citizenship, actual legal reside~xe and domicile in the State of Horida.
pnsert here any pertinent fads, such as sale of property or busineu, or ~elinquishment of employment
at former domicile, removal of family -to new domicile, purchase of home, etc.)
YI~.Sr MARIB YOUNQ 14 years of age
~ ~i4~p AT~D RECORDEQ
~ cT 4UCIE COUN?Y~FI.A• .
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~ ~ ``~~°-~''`~ig~ 4
entering child ia school g:15 -
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f CL~RK ~1RCU~T COURT
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! RJRTHER CHtTIFY that I will aomply witfi all other requiremenfs of a lesal resident of this State.
I FURTHER CERTIFY that I have no intention tfl retum to my fom?er domiUla, and 1 intand to remsin in FORT
PlERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~
Mame)
AHC Abbile Par~
~ 919 South 25th. Street, Ft. pier~e,
' (Address) P losida
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' 23rd October 69
td'~~ subsuibed before me this , day of 19
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_ ~OURT Notary Pubiic
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By., ~s 0.C. My Commission expires
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(To b~ paeuhd jn duplical~ and ori~inal B{~d wiTh Ci~ic Gnuh Cou~f, and duplicalr wi~h Tax As~or,1
eoo~180 ~1794 -
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