HomeMy WebLinkAbout2573 Declaration ot Domicile and Citlsenship
TO THE STATE AND COUNTY TAX ASSESSOR. ~91~V~
51. WCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, florida Statutes.
xolling Meadows - I11. ;
I was formerly a legal resident of _ _ _ _ ?
(City) (State)
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and 1 resided at ~805 OY'lOle _L8ri@ _ However 1 have changed my domiGile
(Street and Number)
to and.am and have bee~ a bona fide resident of the State of Florida since ~Oth day of
:
ldarch 19_?0 and I reside ar 611 Ash Ave. River Park '
~ - (Street and Number) '
FORT PIERCE, SAINT LUCIE COUNTY, FIORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
~ "F«ED AND RECORQgp7
Entering ~iargaret Oman in the 5th grade ST ~UCIE COUNTY,'F~a
~~-CQR(? L~~riFp :
" Georgia Zee in the 2nd grade 'Lg $QD `
'TO ~iPR 6 q~ 9 ; y3 ;
Establishing residence ~ '
t'~~'~-?`• P~~TR.a~'J
, CLERK C?RCUIT COURT' ~
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1 FURTHER CERTIFY that I will comply with all other requirements of a legal ~esidant of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in FORT
PIERCE, S/~INj~,yUCIE COUNTY, FLORIDA, permanently_ ~
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~ . J:= = '~l: (Name)
~ - : . ` ~ _ ~arg ret G. Oman ( b~rs Roy ) _
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~ Sworn to and subscribed before me this 6th day of APril ~ 1970 ~
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~ ROGER POITRAS !
~ K CIRCUIT COURT Notary Public ;
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y By D.C. My Commission expires ~
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~ (To be executed in duplicate snd original ~iled with Clerk Grcuit Court, and dupliut~ with Tax Ass~sso~.)
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BooK 183 PAGE~S~
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