HomeMy WebLinkAbout1279 Oeciaration ot Domicite and Cit~zenship ~
TO THE STATE AND ~OUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
Th;s is my declaration of Dvmicile a~d ~itizenship in the State of Florida that 1 am filinQ this day in acoo~da~ce a~d
in conformity with Chapter 222, Section 222.17, Florida Statutes.
~ I was formerly a legal resident of ~~u~t+ivil.la - A,~aba*~
(City) (State) _
and I resided at T12 I ri s Lane , However 1 have chanyed my domi~ile
(Street and Number)
to and am and have been a bona fide resident of !he State of Florida since 1(t?rc1+ R day of
~
. , 19~_, a~d ( reside at ~ ~R WPA'F. r 1 e„ Dri vP -
- (Street and Number) _
' !
FORT PIERCE, SAIN? LUCIE COUNTY, RORIDA ~
~
:
and this statement is to be taken as my declarotion of citizenship, actuat legal residerxe and domicile in the State of Horida. ~
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(lnsert here any pertinent facts, such as sale of property or busineu, o~ relinquishment of employment F
at former domicile, removal of fam+ly to new domicile, purchase of home, etc.)
~ Placing children in public $chool - Randy and David 1Yalker
FILEO AND RECQROED~ I
• ST. LUCtE COUNTY. FLA. ~
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CLcRK C;RCI!IT COURT
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I FURTHER CER7IFY that 1 will oomply witfi a(1 otF~er requirements of a iegal'resident of this State.
, ~
I 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.
~
j
(Name) Jo~M6 Yarie Walker
(Address)
Swocn to-ar~d~ukiiuibed before me this 9th day of ~rc1i ~ 19 70
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_ RK'C~RCt~1r~GOtrRT Notary Public '
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9jr,- D.C. My tomm;uion expires
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in.dupliuN and original filad witb Cl~rk 'r it Court plicsto with Tax Assassor.) '
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' S~0!(~~ PACE~~~
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