HomeMy WebLinkAbout2522 Declaratio~ ot Domlcile and Citisens~i~
TO THE STATE AND COUNTY TAX ASSESSOR, ' 189~~2
Sl. lUC1E COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Flotida that 1 am filing this day in aaordants a~d
in conformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
1 was formerly a legal resident of - PhilBdelphl8 PeIIri
(City) (State)
and 1 resided at 5_Shipley P18Ce .~wever t havechanged my domic,ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since .9 th _ day of
I-'ebru8~- , 19~Q, and I reside at3055 ~ I+a11e _
(Street and Number)
FORT PIERCE, SAIN? LUCIE COUNTY, FLORIDA ~
a~d this statement is to be taken as my detlaration of citizenship, actual legal residence and domicile i~ the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new danicile, purchase of home, etc.)
Establishing residence
Entering George in the 4th grade
~ FILED aND RECOROED`
• ST. LUCIE COUNTY. FLA.
"^r~'^ %tiFl~D
'70 FEB I 0 p~~2
2 : 34
, _~~=~Cpo-c.~.c2~
:i1'=E:F? ~0= s'R:.S
C~ERK CIRCUIT COURT;
f FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
1 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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~y~~ ~ • (Name)
- : ' : Ruth IInger
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- • ' ' (Address)
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='''Sywocn~td'and subscribed before me this lAth day of Februa2w , 19~._.
ROGER POITRAS
LERK CIRC T COURT Notary Public
G:.t~l~ O~li.Gw
B D.C. My Commission expires
(To bs ~x~cuted in duplicate and originsl fil~d witlt qerk Grwit Court, and dupliuh with Tax Ass~stor.)
No. 13 ~f~?~~V
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