HomeMy WebLinkAbout0756 Declaratlon ot Domicile and Citizenship
Tp THE STATE AND COUNTY TAX ASSESSOR,
Sj. LUCIE COUNTY, FLORI~A: ~
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This is my declar;.!:on of Domicile and Citizenship in the State of Flo~ida that 1 am filing this day in aoo~rdanos and
in oonformity with Chapter 222, Saction 222.17, Florida Statutes.
I was forme~ly a legai ~esident of L~N~
~C~ty~ (Staro)
and 1 resided at 87 Spiaco 1 ROad . However 1 hsve changed my domicjle
(Street and Number)
to and am and have been a bona fide ~esident of the Stste of Florida since ~h - day of
Anquat , t9 69 , a~d i~e:~de ar 164 Serinata Ct. , Pt. St. Lucie,
(Street and Number)
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FORT PIERCE, SAlNT LUCIE COUNTY, RORIDA
and this statement is to be taken as my decla~ation of citizenship, actual legal residenoe and domicile in the State of Horida.
(I~sert 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.) ~
Honestead
F~LEO AND RECORDED
ST. LUCIE COUNTY. FLA.
V~ R3~~~
i38333
'70 J~1!~ t 4 PM I: 3 8
I ='•O :.E?; f olTR.:s
4 CL~RK CiRCUIT COURT'
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I FURTHER CHtTIFY that 1 will oomply with al) other requirements of a layal resident of this State. !
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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.
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Irlr Arthur T. Ziis
~ (Name)
~
~ ~ ~ `
~ ~ , 164 Serinata Ct., pt. S~. Lucie ~
- . (Address) .
~:y ~r,;• ,:.,;'Ci .
~ ; ~ . ,
~ - • , ; y ~ a1I t1 S! 70
~ •'Sy'vqm=te.dnd }~ribed before me this 14th day of T 9 , 19 .
~ : _ k .
~ ,,R~ER, ~bRR/~_
' . Notary Public
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~ gy ~3~ D.C. My Commiuion expires
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~ (To b~ ~oc~cut~d In dupUuM and ori~i~l ~j Courf, and duplicaN with Tax A~or.)
~ 800K ~ PACE .1
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No. 13
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