HomeMy WebLinkAbout1016 Oeclaration ot Domlciie and Citiz~nship
186332
TO THE STATE AND COUNTY TAX ASSESSOR,
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Sl. WCIE COUNTY, FLORIDA: ~
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This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and ~
~n conformity with Chapter 222, Section 222.17, Florida Statutes. t
1 was formerly a legal resident of ~PriTIQf leld GcOrgia _
(Ciy) (State)
and I resided at _Rt 2 B07c _l31_ ~Wever 1 have changec! my domiti~e
(Street and Number) ~
to and am ared have been a bona fide resident of the State of Ftorida since ____25tti _ day of
November_ , ~q 69 ~ and I reside at 3221 So Dixie Highway
(Street a~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residence ancf domicile in the State of Horida. .
(~nsert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bntering child in school
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Husband is workin~ with the Potashnick Dredging Co.
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F1l.ED A~~D r~FCORDED
LUCIE ~OU~:TY. FL:•. .
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186332 =
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~ I FURTHER G'ERTIFY that I will oomply with all other requirements of a legal resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to rsmain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ ' ~ - ~)Q~~. ~Z i
~ ' ~ (Name) ~
~ Patricia Huffine ( Mrs Robert ~
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. Sworn'to and subscribed before me this 1St ~'day of December ~~q 69
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~ ROGER POITRAS ~
~ K CIRCUIT COURT Notary Public
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~ ~iY~L ~°c~-~~z~
~ By D.C. My Commission expires ~
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~ (To L» ~xecuted in dupliuts snd ori~inal filed G~cuit Court, snd dupliut~ with Tax Ass~ssor.)
~~ti B'~~~ ~~E1U15
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~ No 13 - -
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