HomeMy WebLinkAbout0793 i
Declaration ot Domictle and Citizenship ;
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FIORIDA:
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This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in actordance and ~
in conformity with Chapter 222, Section 222.17, Florida Statutes. ~
I was formerly a legal resident of D@tl^Oit ~oi1Ch. _
(Ciy) (State)
and 1 resided ar 12770 ~Iyers Rd. liowever I have changed my domiGi~e
(Street and Number)
to a~d am and have been a bona fide resident of the State of Florida since - - ~7th day of -
~pY'f 1 , 19~~ , and I reside at 1220 RSymoIId Ave .
(Sireet and 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 the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, rernoval of family to new domicile, purchase of home, etc.) .
(School Children)
FILED AND RECORDED
Bobby Joe Wallace Jr. - 4th Grade ST. LUCIE COUNTY. FLA.
~~ECf)R~ Ept~!EO
Cynthia D~arie Wallace - 2nd Grade 192`729
- 'TO APR 29 AM IQ : Og
ROGEr? ~OtTR~S
~ CIERK CIRCUIT COURT'
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1 FURTHER CERTIFY that I will comply with all othe~ requirements of a leyal resident of this State. ~
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I FURTHER CERTIFY that 1 have no intention to return to my former domiule, and I intend to remain in FORT !
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~ PIERCE, SAiNT LUCIE COUNTY, FLORIDA, permanently. GY'8x?dpsY'ent - Mary Buehanan
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s ,;;':~~wo~n to and subscribed before me this ~9th day of April ~ 19 70
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~ . ~ :~r•= - R06ER POITRAS
~ ' ~~^1 ' ' ~ RCUIT COU Notary Public
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~ D.C. My Commission expires
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~ (To be executed in duplicats and orig+nsl ~iled with Cl~irk Cirwit Cou~f, and dupliut~ with Tax Ass~s~or.)
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~ ~~84 ~ , 7~3
No 13 .
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