HomeMy WebLinkAbout1496 Declaration ot Domicile and Citizenshlp
TO THE STATE AND COUNTY TAX ASSESSOR, iS~~j~i
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S1. LUCIE COUNTY, FLORIDA: +
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This is my declaration of Oomicile and Citizenship in the State of Florida thst I am filing this day in aooordance and
in conformity with Chapter 222, Sectio~ 222.17, Ftorida Statutas.
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Waterbury Conn. ~
1 was formerly a legal resident of -
(City) (Stab)
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130 Larchmong Avenue
and 1 residad at . However 1 have changed my domiGi~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florids since 28th day of
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October 69 703 4lindsor Avenue
_ , 19 and I reside at
(Street and Number)
FORT PIERCE. SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domiciie in ihe State of Horida.
(Insert he~e any perti~ent facts, such as sale of property or busineu, or relinquishment of employment '
~ at former domicile, removal of family to new domicile, purchase of home, etc.)
Moved to Florida~on October 28th, 1969 and purchased a home .
at 703 Windsor Avenue, Fort Pierce, Florida. St. Lucie County
on Oecember 2nd,"1969.
F~~ED ANO RECORDED~
ST. LUCIE COUNTY, F~q,:
R~~ORD VERIF(EO
18~~91
'69 OEC 8~Uy I I: 5~ f
~ocEa, ~ ~ ~
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CLERK CIRCUIT COURT;
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~ I FURTHER CERTIFY that I will oomply with all other requirements of a leyal resident of this Stab.
1 FURTHER CERTIFY that I have no intention to retum to my former domic,ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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~ '1 , . rJ ; . ;
~ ' - ~ / ~ (Name) i
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~ ' " 703 Windsor Avenue, Ft. Pierce, Fla.
. ' \C' c c ~ (Address)
_ „ ' y -
~ ' ~ : ~ ~ ~ 8th ecember {~9
Swom to and subxribed before me this day of 1~+ •
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~ ROGER POITRAS
~ CLERK CIRGUIT COURT Notary u'
~ gy D.C. My ~ommission expires • ~ ~
Ro b~ ~x~cuNd in dvplieat~ and ori~inal Rl~d with C1KIc Grwit Cou~, ~nd dupllesh with Tax Ass~or.)
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~ d00K~~~ PIICEI~~
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