HomeMy WebLinkAbout2575 Oeclaration ot Dornicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
This is my dectaration of Oomicile and Citizenship in the State of Flo~ida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of A1tLi9 Ok1A. -
(City) (State) i
2
and I ~esided at ____599_ D8hli8 However I have changed my domi6ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ___?nd day of j
---ADril ~19~~ , and I reside at 802 Delaware Ave.
(Street a~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
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 prope~ty or busi~ess, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
(School Children) ~
F
Joseph b~ark - 2nd Grade FtLEO ANO REC4RDED' ~
ST. LUCIE COUNTY~ FLA. '
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i91802
I . '70 ~lPR 6 AM {4: II
~ ~~72-
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~ CL~RK ~tRCU17 COURT
~ I FURTHER CERTIFY that 1 will comply with all other requirements of a lega) resident of this State.
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I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUWTY, FLORIDA, permanently. DelOI'es Norman
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(Name)
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~ Swor~ to and subscribed before me this 6th day of April ~ i9T0
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~ ~ V4~.•Gv , ~ ~.COURT Notary Public ;
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~ ~ - ~ ~ _ ~ D.C. My Commission expires
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~ J•'~'?o:lN~ti~, ~ ie dupliat~ and originsl ~iled wit1~ Clerk Grcuit Court, snd dupliats with Tax Ass~ssor.)
~ ~ s~ ~ ° a 183 2572
~<<~t/:i:litiil~, i .
~ 800K FAGE
~ No 13
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