HomeMy WebLinkAbout0111 Declaration ot Domicite and Citizenship
TO THE STATE AND-COUNTY TAX ASSESSOR.
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in ihe State of Florida that I am filing this day in accorda~ce and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Pawtuclcet Rhode Island '
I was formerty a legal resident of -
~C;~y~ (State) '
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377 C~rttt Ave • Howeve~ 1 have chan ed m domiCile
and I resided at . . 9 Y
' (Street and Number)
to and am and have been a bona fide resident of the State of Florida since ..-_____btb day of
Oct 64 120 LeSito
_ 19 and I reside at
- - - - - - - ree a ~
r
FORT PIERCE, SAtNT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citiz~nship, actual legal residence and domicile in the State of Horida.
(Insert herP 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.)
Establishing residence
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ST U~ E~COUEj
~RDEp=
, ~i~'~~~rGh~
~`J
..,r 21
; 'l ~ JAN s ~ ,
~ ~4 • 2y
~4 ^Fi p~.;:_ ~ - ~ ~t
€ CL`RK CIR `~UlTr?:;S
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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 I have no intention to return to my former domiCile, and I intend to remain in FORT ~
~ PIERCE, SAINT LUCtE COUNTY, FLORIDA, permanently. 3
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~ . . : ~~'/v A~, ~_J~o'yLl~i.(,d~-~
~ N~
~ . - ~ Arthur E.~Tondreau
~r ~
- .
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(Address) ;
s~ ~ i
~ ~ ' . 7~ ~
~ - _ , Sth January
Sworn'to and subscribed before me this day of , 19 i
a`
~3
ROGER POITRAS
LERK CfRCU~IT COURT Notary Public
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~ By ~ D.C. My Commission expires
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(To bs sxecuted in duplicate and original filed with Clerk Circuit Court, and dupliute with Tax Assessor.) - F
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daoK 18~ 11i
No. 13
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