HomeMy WebLinkAbout0658 Declaration ot Domlcile and Citizenship ~
18824E~
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. IUCIE COUNTY, FLORIDA:
This is my declarotion of Domicile and Citizenship in the State of Florida that 1 am filing this day in aocordanoe and
in conformiy with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal resident of Narion Virginii
(City) (Stats)
and I ~esided at 202 Groaeciose S!~ . However I have changed my domic~le ~
(Street and Number) ~
to ar~d am and have been a bona fide resident of the Stste of Florida since 30th day ot ~
. ;
Novembe= , 19 69, and 1 reside at a402 NO. 49th St. ~ '
• (Street and Number)
FORT PIERCE, SAINt LUCIE COUNTY, FLORtDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domiale in the State of Ho~ida.
(Inse~t here any pe~tinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
~ j8$24~
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FILEO AND RECORpEpa '
DANNY HORN years ST. LUCIE COUNTY R
CORn b~RfF~F~La. '
Ir1ACBY LOU HORN 7years ~
'TO JAN 13 Ap~ - ~ I: O 1
=~e~~P ~ ~r~~
' ~~ERK C?RCUIj COURT'
enrolement in school
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I FURTHER ~ERTIFY that I will aomply with all other requiremenri of a le~al reaident of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ G~~ /J n___
,~'1..~ ~,Wv~
~ CAROLINB HORN
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~ (Name)
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- 2402 No. 49th. St. Ft. Pierce, Fla.
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~ . ~Swon? ~o'pi~d~~ibed before me this 13th day of T~~nuarv , 19~.
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~ • ~ ;i _ _ :
' , ~R~ rqT~15 i
~ a1RC IT COURT Notary Public
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~ 8y D.C. My Commission expi~es '
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~ Ro b~ ~x~cvl~d in duplicah and ori~insl fil~d with Gerk Grcuit Cou~f, snd dupliu» with Tax As~or.)
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~ 0 k ) PACE 6~
ya Mo. 13
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