HomeMy WebLinkAbout2906 DeClaration ot Do~niCile and Citizenship
TO THE STATE AND 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 Florida that 1 am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal ~esident of ____.____W8Y'38W _ Ind. _ _
, (City) (State)
and 1 ~esided at 727._ ~'g8t
Smitb St. Howeve~ I have changed my domic.ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 27th day of
October________, ~q 6~_, and 1 reside at ~oliday Out , Rt. Jei~sen Beach
~ (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my decla~ation of citizenship, actual legal residence and domicile in the 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.)
(Establi~h Resident) ~
Ft~EO AND RECORDED'
S7. LUCIE COU~STY. FLA.
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' '?C1 ~PP? 10 t~1 1~ : 56
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C~~ ~=K c~RCt,~fT COUR7
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~ I FURTHER CERTIFY that I will comply with al) other requirementa of a legal resident of ihis State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT -
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~ PlERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. dOhII d. Stumpf
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(Na e)
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~ (Address)
10th Apri1 70
Sworn to and subscribed before me this day of , 19 .
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ROG~it f!OITRI~S~ •
~ Cl~~`i"~~OUI~~. Notary Public
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_ By D.C. My Commission expires
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~ Ro Ks i~~rt~.ie,~~licat~ and original filed with Clerk Clrcuit Court, and duplicsN with Tax Ass~ssor.)
_ _ r~ gooK 183 FacE 2~03
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