HomeMy WebLinkAbout2394 Decla~ation ot Domicil• and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORiDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in aoo~rdanoe a~d
in c~onformity with Chapter 22?, Sectio~ 222.17, Florida Statutes.
1 was formerly a legal residant of Rockford - Illinoie
(CitY) . ~a»~
~ 1018 22nd Aaenue
and 1 ~esided at . Howevar 1 have chanQet~ my domkile
(Street and Number)
b and am and have been a bw~a fide rasident of the State of Florids since OCt. 2~ day of
, 19
62, and I reside at 302 QkeeChobee Road
(Sheet and Numbe?)
FORT MERCE. SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of cirizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~ .
Plaoing child in publia echool
Timothy W. Johne Fi~ED ANp RECORDED
S;, LL'CIE COUt'~TY. A•
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I FURTHER CfRTIFY that I will aomply with al) other roquiremenfi~ of s(epal resident of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domidle, and 1 intend to remain in FORT
PIERCE, SAIN7 LUCIE COUNTY, FLORIDA, perrrtanently.
(Name) Albe~['t Joh]de
(Address)
- ~ 3rd November 69
Sworn to and subssr~~foti n~e this x day of , 19 .
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ROGER POt~?~~ ~ . o ~
q,ERK CtRWlT!'~IiRT' - . = Notsry Public
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g ~ - - D.C. My Commiuio~ expires
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(To b~ ~x~cuhd_<iiifr ori~inal Rl~d vvilfi p~rlc Cirwk Care~, and duplieah wiN~ Tm As~e~.)
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