HomeMy WebLinkAbout1305 Declaration ot Domicile and Citizenship
186~~.1
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
I was formerly a legal resident of ___~Ytls TOWt1 NeW JeYS!'y a
~C;ty~ (State) ~
48~ Harrison Street
and I resided at However 1 have changed my domiCi~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since -__.3rd _ day of
Deceaeber 69 2903 So 28th street
- 19--, and 1 reside at -
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
~nd this statement is to be taken as my declaration of citizenship, act~al legal residence and domicile in the State of Fiorida,___.
(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.)
Bstablishing residence
FILEO ANp RECORDED
Bntering childrea in school ST. LUCIE COUNTY, FLA.
r~i?~ \'~~V~n .
Mike in tbe 7th grade ~31
!69 G'EC y PM : 01 ; ~
Christine in the lst grade ~ i~,
~ 'Gt~~
~ ry = :~C~r7r?:.S
C~ERK C;Ri (};T COURT
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~ 1 FURTHER CERTIFY that 1 will comply 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 domic~le, and I intend to remain in FORT ~
i
~ PiERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. _ ~
~ ' ~ ,
~ ~~1~;`:N::~::•:;;~~~ . ~
~ L v (Name)
~ - George B. Lindbo~
~ - :l • • ~ : • .
••J
- ~ ~
~ ~ . ~ rz _ (Address)
~ . ~ ' 4th ~ecember bq '
~~wbrn~tti'bnd suburibed before me this uay of , 19 .
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~ ROGER POITRAS
e:~ K CIRCUIT C URT Notary Public ~
~ t~a~c .~t:-l~~
- By `'-~~G D.C. My Commission expires
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~ (To be executed in dupliute and original ~iled with CIKk Ci~cuit Court, and dupliute with Tax Ass~ssor.)
~ ~~18~ ~~f~30~
~ „{0 13 _
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