HomeMy WebLinkAbout2526 ~
Decla~ation ot Domlcile and Citisenship
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TO THE STATE ANO COUNTY TAX ASSESSOR,
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51. LUCIE COUNTY, FLORIDA: ;
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This is my declaration of Domicile and Citizenship in the State of Fla~ida that 1 am filing this day in accordance and ~
in conformity with Chapter 222, Section 222.17, Florida Statutes. ~
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1 was formerly a lega) resident of Ston~ Brook L. I. Nex York _ €
(Ciy) (State) ~
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and 1 ~esided at 1~_M~: _f~Ley Rd•_ However I havechanged mydomi~ile 1
(Street and Number) ~
Dec. 1 ~
to and am a~d have been a bona fide resident of the State of Florida since day of ~
_ 19~4__, and I reside at 601 Seaxav Drive - E 26 ~
(Street and Number)
FORT PIERCE, SAINT 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.
(Insert here a~y pertinent fads, such as sale of property or business, or relinquishment of employment ~
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at former domicile, removal of family to new domicile, purchase of home, etc.) '
Purchused home at 1614 Binney Drive, Ft. Pierce, Fla., for a permanent
residence
~~~lfiO:AND =RE~tDRQfO'
S LUCtE COU~!'1~Y.~FL'A.
`1~ f.t~Pt? ~ERi~'tED
l9l`~'6~7
'7Q APR 3 AM II: II
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~~~~K ~~~CUlT COURT
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I FURTHER CERTIFY that I will comply with al) other requirements of a legal resident of this State. ~
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1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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g (Name) glmer A Mapp ' ~
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` (Address) '
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'`+'°''SyYotn: o~a~d subscribed before me this 3 day of ~ April ~ ~q 70 , ~
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• ' Rf~61~=_ POITRAS ~
~ _ i ;CIRCUIT COURT Notary Public ~
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y= ' r i~~~~ D.C. My Commission expires ;
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(To bs executed in duplicate and original filsd with Clerk Grcuit Gourt, and dupliute with Tax Asssssor.) ~
~~K183 ~F2523 =
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