HomeMy WebLinkAbout0113 Declaratio~ ot Domicile and Cltisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
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, Florida Statutes.
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Pawcatuck ~nn•
I was forme~ly a legal resident of -
. (C;ty~ ~ (State)
and 1 resided at 35_ Sti11DaI1 AY@~ _ . However I have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida~~~~-______--_- day of
Febsuary 19 69 and 1 reside at 181 B1Sito Court
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(Street and Num ~ -
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 Florida.
(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.)
Establishing residence
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I FURTHER CEftTIFY that I will comply with all other requirements of a(egal resident of tfiis State. '
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I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT ~
PIERCE, SAINT LUC~E COUNTY, FLORIDA, permanently. ~
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~ . . , .t'• (Name)
~ ~ . Michael Friedman ;
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~ : . ; ° (Address) ;
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~ ,•.,Syro~rQ td ond suburibed before me this Sth day of January _ , 1q 70 . '
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~ ROGER POITRAS ~
~ CIRCUIT COURT Notary Public
a ~
~ gy G~~~ ~4~L`~'" D.C. My Commission expires
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_ (To bs sxecuted in duplicats and original filed with Clerk Circuit Gourt, and dupliwts with Tax Asseswr.)
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