HomeMy WebLinkAbout1458 Deciaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORI~A:
This is my declaration of Uomicile and Citizenship in the State of Florida that I am filing this day in acto~danca and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal ~esident of Utaw A19b9ID8
Kity) (State)
310 Hook A e
and 1 resided at ~ However 1 have changed my domic.ile
(Street and Number)
January 23
to and am and have been a bona fide resident of the State of Florida since _ _ day of
_
_ , 19?~ , and 1 reside at 320'T Tennesaee Ave. _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual tegal residence and domicile in the State of Florida.
(tnsert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at forme~ domicile, removal of family to new domicile, purchase of home, etc.)
Placing children in school - Kenneth Lane Capps
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~ 1 FURTHER CERTIFY that I will comply with all other requirementa of a leyal resident of this State.
~ I FURTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ Sworn to and subscribed before me this ~7 day of January ' 19 70
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~
~ ROGER POtTRA;
CLERK CIRCUfi COURT . Notary Public
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~ By D.C. My Commission expires
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~ R~ b~. executed in duplicaf~ and oripinal ~iled with CI~?k Circuit Court, •nd dupliut~ witl~ Tax Ass~ssor.)
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