HomeMy WebLinkAbout2992 19t~u~
Declaratio~ ot Dornicile and Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and ~itizenship in the State of Ftorida that I am filing this day in aaorda~ce and
in conformity with Chapt~ 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of j+~@ ~?orth Florida _
(City) (State)
and I resided at 11Q2 COChT811 Dr1Ve However I have changed my domitile
(Street at~d Number)
to and am and have been a bona fide resident of the State of Florida since ~h _ day of
__~,eptember , t95~, and 1 reside ar 2911 Sher~vood Lane
(Street and Number)
fORT PIERCE, SAINT LUCIE COUNTY, ~ORIDA
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snd this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert 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.)
Residence
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I FURTHER CERTIFY that I will comply with all other requirements of a(egal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic.ile, and I intend to ~emain in FORT
PIERCE, SAINT LUCIE COUNTY, FtORIDA, permanently.
.
(ldrs) Zouie Davenport
(Name)
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~ j~ti~uir~~~~,,. ~ -
: - 2911 Sherwood Lane, Ft. Pierce, Fla.
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~ f !~••:L~r''•_ (Address)~ . '
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-~~cvF~.;to ~ 'subscribed before me this day of February , 1q~~.
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- . ROG~R''f~RAS _
~ CLERK :CIR~UIT COURT Notary Public
~ By ~ D.C. My Commission expires
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(To be executed in dupliute snd oripinal filed with Clerk Circuit Court, and dupliut~ wit6 Tax Ass~ssor.)
~~t $ooK182 Pb~E~984 '
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