HomeMy WebLinkAbout1394 Deciaratio~ ot Domicile and Citizenshlp j
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TO THE STATE AND ~OUNTY TAX ASSESSOR. ~
SI. WClE COUNTY, FLORIDA;
This is my declaration of Oomicile and ~itizenship in the Stata of Fiorids that 1 am filiny this day in acoordancs a~d
~n confarmity with Chapter 222, Sectio~ 222,17, Fio~ida Statutea.
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I was formerly a legat ~esident of ~uncie Ind. ~
(Ciy) - (State) ~
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and I resided at 2414 N. Lil'~den However I have chan9ed my domiGte
(Street and Number) ~
to and am and have been a bona fide resident of the State of Florida sinoa ~5th dsy of '
June _ , 19~, a~d 1 res~de at 1006 $isDBrie AYe.
(Street and Number)
FORT PlERCE, SAINT LUt1E COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residente and domicite in ihe State of Florida.
(Insert here' any peninent facts, such as sale of R~operty or busineu, or relinquishment of employme~t
at fo~mer domicile, removal of family to new domicile, purchase of home, ett.)
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FILED AND REGORDED=
residence ST, ~~Cr~ COUMTY, ~LA.
~.:~~av l~~ED
~to r~~~ ~ ~ a~ ~o : ~ o
' ~o~
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CLERK CIRCUiT COURT'
I FURTHER CER7IFY that I will aomply with all other roqui~ements af a Isgal'resident of this State. -
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1~UR7HER CERTlFY that 1 have no intention to retum to my former domiqle, and I intend to remein in FORT
PIERCE, SAINT IUUE COUNTY, FLORIDA, permanentty.
MARSRIA RIPKER
(Neme)
_ r:~ 1008 Hispana Ave.
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l~".,#~c~~=t}~ sdb~~f~etl l~afore me thi: 1 1 th day of Merch 19 70 .
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By O.C. My Gommission expires
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(To b~ ~xecwed in duplicste and original~~ ~5i~ rf, and dupliut~ with Tax Ass~ssora
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