HomeMy WebLinkAbout0367 Declaration ot Qomicile and Citlzenship
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TO THE STATE AND COUNTY TAX ASSESSOR, ' ?
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and ~itizenship in the State of Flo~ida that 1 am filing tfiis day in atmrdance and
in conformity with Chapte~ 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of QYracnse _ New York ~
~C;y~ (State)
and 1 ~esided at - 2807 Jamea Street However f have changed my domiti~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since -F~h.~_ day of
, 19~_, and I resida ~at 112 ~nle ~ve
(Street and Number)
FORT PIERCE, SAIN? LUCIE COUNTY, RORIDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Inse~t here any pertinent facfs, such as sale of property or business, or relinguishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing reaidency ~
FI~ED AN~7 RECORDED
~T. LUCIc i,~Ui~TY~FIA•
, r;~n[~ ~r~~:1F:..0
~ ~ `19G2~'14
~
'~0 FE6 26 9: IZ
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~ ~~~~h CiRCU1T COURT
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~ I FURTHER GERTIFY that 1 will comply with al) other requirements of a ieflal resident of thia State.
I FURTHER CERTIFY that 1 have no intention to return to my .former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ ~-si~ ~ ~ ° - 1.~ . - ~
~ (Name)~rnda Y. Beaubien
~
_ (Address)
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=4~ Sworn to ~+nd-subscribed before me this 26 day of Feb• , 19 TO .
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K C(qCWT•CGtURT Notary Public
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~ gy D.C. My ~ommission expires
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~ ~To ~is ~sueg~Ae~1: in duplicate ai+d ori~inal filed with Cl~rk Grcvit Court, and duplica» with Tax Ass~uor.)
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