HomeMy WebLinkAbout1171 Deciaration ot Dom~cile and Cltizenshjp
TO THE STATE AND COUNTY TAX ASSESSOR, ~`~~~~5
Sl. LUCIE COUNTY, FLORI~A:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordance a~d
~n conformity with Chapter 222, Section 222.17. Florida Statutes.
1 was formerly a legal resident of Pittsfield MiBs
(City) . (State) _
and I resided at _ 21 Allendat~ Ave . , Howeve~ I have changed my domivle
(~t~aet and Number)
ro and am and have been a bona fide ~esident of the State of Florida since 5th day of
March ,~q 70, a~ ~ reside ar 30? Granada Street
(Street and Number)
FOR? PIERCE, SAINT LUCIE COUNTY, FLORIDA ~
and this statement is to be taken as my decla~ation of ~itizenship, actual legal residente and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, o~ relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
.
~ Establishing residence and entering
Susan Ann 'Baker in the lst grade F~LEO ANp RECORDED~
ST. IUCIE CpUNTY, FLQ.
~r~;~-. ~ac-?,~~rED t
Deborrah Lee in the lOth grade ~9o8i ,
'70 t~R 6 P~~i I:8I 2
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. CLERK C;Z~t~~T~~OURT
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~ I FURTHER CERTIFY that I will oomply with at) othor requirements of a legal'resident of thla State.
~ I FURTHfR CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORY
~ PIERCE, SAINa~44K1E; COUNTY; fLORI~A, permanently. i
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: ~ ; . (Name)
~ ~ . ' ' Mar jorie Baker ( Mrs Gerald )
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March 7
Swor~ to and subsuibed before me this 6th day of . 19 •
ROGER POITRAS ~
RK CIRCUIT COURT Notary Public
~ ~j~Li"~~i/ Cl/ ~i~7:~'aGC/v
gy D.C. My Cammission expires
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~ (To be exewted in duplicaN snd originsl filed with Gerlc Cirwit Courf, and duplicat~ with Tax Ass~sso~.)
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~ a~o~ 1~3 ~1170
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