HomeMy WebLinkAbout2033 DeClaration of Domicile a~d Cittzenship 184842
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE COUNTY, FLORIDA:
This is my decia~ation of Oomicile and Citizenship in ths State of Florida that 1 am filin~ this day in aaordanoe and
in conformity with Chapta~ 22?, Section 222.17, Flo~ida Statutes.
1 was fo~merly a legal ~esident of ~~yCrOSS G~~
(Ciy) (State)
and 1 resided at _ 346 P~q@ VitM Drivc .~„revaf I have chanyed my domiGle
(Street and Number)
ro and am and have been a bona fide resident of the Stata of Florida since ZOth day of
October ~ ~q69 , a~ ~ reside at Dixie MObil! Home
(Street and Number)
FORT PIERCE, SAINT tUC1E COUNTY, FLORIDA
a~d this statement is to be taken as my declaration of citizenship, actuat legal residence and domiciie in fihe Sfiafie of ~i~.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employme~t
at former domicile, removal of family to new domic9le, purchase of home,. etc.)
Bstablis6ing residenc~
Bntaring Robert Terry~ Boat~right in the lOth gr~de
FILED AND RECOROED
ST. LUCIE COUNTY. FIA.
ftErQ~~? V=nI~1~U
~ 184842
, '69 QCt 2~ !~i 8 : 54
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F;n:,:~R i•~~lTR~S
C~ERK CIRCUIT COURT
1 FURTHER CERTIFY that 1 wil) oomply with all other requirements of a le~al resident of this State.
1 FURTHER CERTIFY that I have no intention fo retum to my former domicjle, and 1 intend to remain in FORT
PIERC~, ~RINp~t~i~ 40UNTY, FLORIDA, permanently.
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. . Lilliaa Masaengill t Mrs.Chariea)
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Swo~n to and subu~ibed before me this 27tb day of ~t0~r ,~q 69 .
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ROGER rO1TRAS _
CiRCUR ~ RT Notary Public
By ~-~``-'~-C~CJ D.C. My Commiuion expires _
(To b~ ~x~arted ie duplicst~ and ori~inal Rt~d with Cl~rk qrarit Coue~, and dupljWta wilb Tax Aa~s~or.)
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