HomeMy WebLinkAbout1990 18~0~3
Declaration ot Dor~icile and Citizenship
i0 ?FiE STATE r1ND COUNTY TAX ASSc'a~G~c,
Sl. lUC1E ~OUNTY, FIORiDA: '
This is my declaration of Domicile and Citizenship in the State of Florida that I am fili~g this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was fo~merly a legal resident of OdCS3a Tezas
(City) (Staro)
and 1 resided at __30U0 _LBUrl1 However I have changed my domiqle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since $th day of
December 69 192u / Wyoming Ave.
, 19 and I reside at
(Streef and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLOIlIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida. ~
(Insert here any ~pertinent facts, such as sale of property or business, or relinquishment of employment f
i
at former domicile, removal of family to new domicile, purchase of home, etc.)
f
~ntering Jeffrey in the 2nd grade
FII.ED AND RE~OR
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~A.
ST•n~~0 C~i~~RTF ~D 3
i~7~6
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! '69 DEC Y~,~„ {
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f StQL•r T< i OITRA uR? ~
! CIRCUIT C~ 1
; ~LERK ~
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€ 1 RIRTHER GERTIFY that I will comply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I inTend to remain in FORT '
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~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ . (Name)
~ : ~ ~ . Marvin DeBolt
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~ ' ; . ~T (Address)
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~ ;°°Swon}~tq,~~subscribed before me this lSth day of December , ~q 69.
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ROGER POITRAS
l CIRCUIT URT Notary Public ~
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~ loo~G~l,G~
~ By D.C. My Commission expires
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~ Ro b~ ~xecvted in dupliut~ and original filsd with Cl~rk Grcvit Cour1, and duplicsh with Tax Ass~aor.)
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~ BOOK181 ~~~1991
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