HomeMy WebLinkAbout1882 ,
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Declaration ot' Oomicil• and Citizenship t
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TO THE STATE AND COUNTY TAX ASSESSOR, . j
S1. WCIE COUNTY, FIORIDA: ~ y l
This is my declaration of Domicile and Citizenship in ths State of Florida that I am fili~9 this day in aocordance and
in conformity with Chepter 22Z, Section 222.17, Florida Statutes.
1 was formerly a legal ~esident of wOOf~1811d AlA .
(City) (Staro)
and 1 resided at _ P. O.BO]C 71 . However 1 have chanqed rny domiv;a
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~ 4th day of
MatCh , 19 , and I reaide at ~ 8~3 S. 37th St . _
~ (Street snd Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
end this statement is to be taken as my declarotion of citizenship, actual legal reside~ce and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or ~elinquishment of employment
at former domicila, removal of family to new domicile, purchase of home, etc.)
(School Children}
Roger Allan - 4th Grade
Gerri Yolanda - 2nd Grade
FILEO AND RECOROEQ~.
ST. l.UC1E COUNTY. ~lA.
ZECORB \~QR~~~~' . ' , •i t
a! i `J
'70 MAR 23 RN 9:49
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€ RO~ER f'OITRAS
~ CLERK CIRCUIT COURT'
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r 1 FURTHER CERTIFY that I will oomply with all other requirements of a Is~aa) resident of this State.
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~ I FURTHER CERTIFY that I have no intention to retum to m former domicjle, ar~d I intend to remain in FORT
PIERCE, S10.1NT LUCIE COUNTY, FLORIDA, permanently. RU8B611 W8Ike2'
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(Address) '
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; Swom to and subscribed before me this 23rd day of March ~ 19 70 _
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~ ROGER POt~ ` ~ • ;f~r~~ • ; . }
;f RG~; ~ G' . Notary Public :
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~ By ~ O.C. My Gommission expires
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~ (To b~ ~x~cyilie~'ia • r+¢ ~ Rl~d wilb Cl~k prwh Cou~, and duplieab wi~h Tax Aa~soa)
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