HomeMy WebLinkAbout1869 Declaration of Domicile a~d Citiz~nship '
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TO THE STATE AND COUNTY TAX ASSESSOR, y
S7. LUCIE COUNTY, FIORIDA:
This is my declaration of ~omicile and Citizenship in tha State of Florida that 1 am filing this day in aooo~danos and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a iegal resident of Ciocinnati ~h10
(Ciy) (Sta»)
ar~ I ~esided at ; 3 Handaside LiQ! . Hcwever I have charqed my domidle
(Sheet and Number)
to and am a~d have been a bona fide resident of the State of Florida sinoe 8th day of
September ,~q 69 and I reside at 3001 blorninaaide Blvd_ P~rt c+_
(Street and Number)
FORT ~IERCE, SAINT LtJC1E COUNTY, FLORIDA .
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the Staro of Horida.
(Insert here any pertine~t fatts, such as sale of property or business, or relinquishment of employment
at forme~ domicile, removal of family to new domicile, purchase of home, etc.)
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FILED AND RECORQED ~
Batab~.iahing residence ST. LUCiE COUNTY. FLA.
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184'71'7
~ss ocr z3 a~ io : s~
t•O:TR:.~
CL~RK CIRCUlT COURT
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I RIRTHER CERTIFY that I will aomply with al) other requlrements of a Ispal resident of fhis State.
I FURTHER CERTIFY th~t 1 have no intention to retum to my former domic,ile, and I intend to remain in FORT
PIERCE, SA~~~;L~IE CQUNTY, FLORIDA, permanently.
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. : t ` , ~ .1 ~ . (NarTt@)
~ • ~ _ ~ea C. Cooley
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~ Bdith W. Coaley
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Sworn to and subscribed before me this 23rd day of ~t0~r , 19~_9
ROGER POfTRAS
CIRCUIT COURT Notary Public
8y a~`'~~ ~~ti'~ D.C. My Gommisiwn expires
(To b~ ~x~ut~d in duplicat~ and ori~inal Rl~d wiih C{~rlc qra~if Cou~f, and dupliuh wiM~ Tax A~or.)
ooK180 PA~f18~6
No. 13
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