HomeMy WebLinkAbout0094 Declaraticn ot DomiCile and Citisenship 1~~~i
S LO
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. LUCIE COUNTY, FLORIDA~
This is my declaration of Domicife and Citizenship in the State of Florida that I am filing this day in accordanu ~nc1
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
Halcombe Missouri
I was formerly a (egal ~esident of - -
(C;ty~ (State)
and I resided at __..___Rt~ _#1_s_=__~]t _40 _ . . _ . . However 1 have changed my domiti~c
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(Street and Number) 3
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to and am and have been a bona fide resident of the State of Florida sina~ 12th.___ day of
_n~~~= ~z ~9 69, a~~ i r~;d~ ~ 913 Bluefi~,~h Ct. ~ Pt. Pierce, Flas
(Street and Num r
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Flo~ida.
(Insert 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.)
JAMSS WAYNB HILL 13 years
PAI~I~ SUB HILI, 11 years F~LEO AND RECORDED
5T.'W~ ~ ~ ~~UNTF ~RLA•
JOY+CE ANNBTTB HILL 8 yea rs
1~`~~10 ,
. _ ~I O J~~ - 5 RM ~ : 3 B ~
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''i C! C;~iCUtT COURT «
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I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State. ;
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I FURTHER CERTIFY that 1 have no intention to return to my former domiule, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIUA, permanently. ~
L'~a -z ~ ~ f-,/~~ ~
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~ ['HARi~S fl HILL_ ~
(Name)
:
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~ ~ . 913 Bluef ish Ct. , Ft. Pierce, Fla. 4
~ ~ . (Address) [
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~ Sworn to and ~ ti3cribed before me this Stb day of ~ January 19 70 ;
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~ ROl3ER ~1'
~ 'C IT OURT Notary Public ' ~ `
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~ By A~ D.C. My Commission expires
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(To bs executed in duplicate and original filed with Cleirk Circuit Court, and dupliwfs with Tax Ass~ssor.)
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~ soeK 1~2 ~?cE s4
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