HomeMy WebLinkAbout0178 ,Declaration Qt Domicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA: .
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This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in confo~mity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of _DAp h11e A18baID9
(Ciy) - (State)
Jubilee Beach Trailer Park ~
and 1 resided at However I have changed my domitile ;
(Street and Number) .
to and am and have been a bona fide resident of the State of Florida since .~4~~b~Y' _24 day of
_ t9
69 , and 1 reside at _~Holiday Out, Jensen Beach, Florfda
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FORT PIERCE, SAINT LUCIE COUNI'lf, FLORIDA
and this statement is to be taken as my declaration of citizenship, adual legal residence and domicile in the State of Ho~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.)
Placin~ child~ public school -(child is requesting to -
attend school in Martin (3ounty as they live on the Martin/
St. Lucie County line.
ANp RECOR~ED
FtI.E~ ~OUhTY. ~L~`-
,.-t. :.UC~E ~ H,{~'•.~~
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I FURTHER CERTIFY that I will comply with all oiher requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to retu~n to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
.
? ,(~J
~ e~ .elen Spradlin
- (Address)
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~ Sworn to and.suburibed before me this 5th day of January , 19 70
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~ ~iGER PORRAS
~ ~K CIRCUIT COURT Notary Public
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~ By ~ ~ D.C. My Commission expires - ~
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(~o be ~xecuted in duplicate snd originsl filed with Clerk Grcuit Court, snd duplicate with Tax Ass~ssor.) ~
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