HomeMy WebLinkAbout2510 DeclAration ot Domicile and Cltisenship
TO THE STATE AND GOUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is my declaration of ~omicile and Citizenship in the Stats of Florida that 1 am filing thi: day in aooordanos and
in oonformity with Chapte~ 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Tndependence ~0•
(City) (Sfah)
and I resided at 11608 Bast 39th 3treet . Hcwever 1 have chanped my domidle
(Sheet and Numbe~)
ro and am and have been a bons fide resident of the State of Florida sinoe AOV: 1 _ dsy of
180 Zobater xoad
, i9 69 , and ~ rostde at
. (Sheet and Number)
FORT r1ERC~, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual iegal res'idente and domidle in the State of Horida.
(Inse~1 here any pertinent fasts, such as sals of property or businoss, or relinquishment of employme~t
at fcmner domicile, removal of famity to ~ew rlomicile, purchase of home, efc.)
Placing ohildren in publia echool - Shelly and g~O~.Wo da
. pN0 R~NZY. ~L~'.
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i RJRTkER CfRTIFY that 1 will aomply with ali other ~squirements of a le~al resident of thk State.
I FURTHER CERTIFY that i have no intention to retum to my forme~ domivle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTIf, FLORIDA, permanently.
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(Nsme) Juue B woods
tAddress) ~
Swom to er?d subxribed before me this day of Anvaml+wr , 19~_.
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C1ii~K`~HY_COURT Notary P~bik
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By~• ' D.C. My Commi=:'wn expires
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lTo bt~ tpcicvf~d in duplicst~ and ori~inal fil~e! wi~ Citrlc qraiif Cou~t, and dvplkat~ w31h Tax A~ea~ora
_ - No. 13 ~~?~M
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