HomeMy WebLinkAbout2178 Declaration ot Domlcile and Citi~anship ~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E ~OUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in_ the State of Florida that 1 am fili~g this day in aooo~da~ce and
in confo~mity with Chapte~ 222, Section 222.17, Florida Statutes.
t~zt Albu~qu•rqua Aaw Yezico
I was formerly a legal resident of
(City) (State)
and 1 ~esided at ~ 6205 H1tChe11 R08td SS Howev~ 1 have chan9ed my domWle
(Street and Number)
b end am and have been a bona fide ~esident of the State of Florida since A~' ~ 5 day of
,~969 , and I res~de at 2406 At18r1~iC Beech Blvd.
(Sheet and Number)
Ft. Pierae, Fla
FORT PIERCE, SAINT LUCIE COUNTY, FIORIDA
and this stateme~t is to be taker~ as my declaration of citizenship, actua! legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of emptoyment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establiehing reeidency
~II~D 1•ND RECOROED
- ,T, t_UC~~ ~QUNTY. FL•'..
"-R1=
; . ~ 1g4`,93s
i =^n ii~ 2U fi'i 1.~ ,
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~ ~
~ ;:(~`=t~ M f" 1 'S
~ ~K ~iFtr_L'IT OURT
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I RIRTHER CHtTIFY fhat 1 will oomply witfi all other requirements of a(aqal resident of thls State.
1 FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
?
(Na Ca los l~. Creamer
(flddress)
1'` ~ .
- fe~at~d wbsuibed before me this 28 day of Ootober , 1969 .
titi:~.~li ; • •
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~ > COURT Notary Public
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- $y,. ~ ~ ~ " D.C. My Commiuion expires
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~a~h 4',.3 t°
- '~..;iit~alid in dvplicat~ and o~i~i~al Rl~d with Cl~elc Cirwit Cour~, ~nd ehrplicNa wi~h T~x Atssaor.)
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No. 13
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