HomeMy WebLinkAbout0588 j. Declaration ot Domicile and Citizenshlp
TO THE STATE AND COUNTY TAX ASSESSOR. -iS8=1~,~
Sj. WCIE COUNTY, FLORIDA:
This is my declarotion of Vomiuie and Citizenship in the State of Fforida that 1 am filing this day in aaordance and
in oonformiy with Chapter 222, Section 222.17, Florida Statutes_ ~
1 was formerly a legal resiaent of ~ashville I~ichigan
(City) (State)
•u'~"
P.O.Box 165
and I ~esided at , Howev~r 1 have changed my domic~le
(Street ars~ Number)
b and am and have been a bona fide resident of the State of Florida since 20th day af
December ~9 69 , and I reside at 209 So 31st street
(Street and Number)
~T !lYC~, ~!!!!T :!.'~:E SQ!!!!T:', ~na~np~
~~ap~ this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Florida.
(Insert here any peirtinent facts, such as sale of property or business, or relinquishment of employment
at former domicife, removal of family to new domicile, purchase of home, stc.)
~S~-t ~ :
~i~-£fl %-=~D RECORDED
Entering Dnartha in the 4th grade ~t1~~~: ~ GU~sTY, F!
. t r,-.r:,. ~;c^~c...%:
" John in the llt.~ g8ade
" Donald in the 9th grade ,;~1 r; : 3~
~
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-i-~r~N; ~',ri :l~t~ C7ElR?
.
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1 FURTHER CERTIFY that I will oomply with all other requirements of a legal resident of this Stete.
1 FURTHER CERTIFY that I have ra intention to retur~ to my former domicjle, and I intend to remain ~n FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ _
` ' ~
~~r•,.,. ' -
(Name)
Liliian E. Tarrents
. • ' ~
. _ . , • - - , i'._
. _ . ~ (Address)
. . ' ~ ~7 12 th January ?0
~ 'S5!wom`4p:bnd subxribed before me this day of , 19 .
r;~''~•
ROGER POITRAS
CIRCUIT COURT Notary Public
By °i-`-~`'ei ~d'~`'~~ D.C. My Commission expiras
e
(To b~ uucut~d in duplicst~ and ori~inal ~ilsd with G~Ic GrcuN Cou~f, and duplicat~ with Tax As~tor.)
. doox 1$~ PAr,( ~j~'j -
' Na. 13 _ _
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