HomeMy WebLinkAbout0681 ~ 194'733
Declaration ot Dornicil• and Citizenship
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FlORiOA:
This is my declaration of Domicile and Citizanship i~ the Stats of Florida that I am filinq this day in aooordanoe and
in co~?formity with Chapter 222. Sectior~ 222.17, Fiorids Statutes. ~ '
1 wss formerly a legal resident of sPringfield Virginia
(City) (Stete)
and 1 ~esided at 7705 Ha~'wOOd Place . However I have chenged my domicile
(Street and Numbe~)
to and sm and have been a bona fide resident of the Stste of Florida ainoe 15 th day of
June , 19~, and I reside at 621 Ash StY'eet
_ (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FtORIDA
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 sals of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
~ HOMESTEAD .
~ CHI7,D~ IN SCHOOZ i11~~0 AND R~CORDEO -
ST, ~,UGtE COUNtY. FLA.
. ~tE.•':4~F.c^. V~RIF'~D -
DEAISB HURI~EY SYeara ~
'70 J!!~T 6 P~t I :53
CHSRYZ HIIR7,EY 8 yeare 194`733
THOYA3 JOSEPH HIIRLEY III 13 years f~~~CR ~QITRas
CLcRif ~tRCU1T COURT
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1 RIRTHER CERTIFY that I wiil oompty with.all other requirements of a leyai reaident of thi: Stste. _
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I inte to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIOA, permanently. /
THOYAS J. ~Y J8. ' ~
(Name) .
~ 621 Ash Street Port St. Zucie,
_ .
~ . z:' : - . (Address) t. erce, a.
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Sworn tp''~.-~b~~e~fo~re me this 16th day of J~e , 19 7.
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ROf3ER~ : '~~,'s:tu
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CLFRK ~ : ` ~ Notary Public
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By ' o- D.C. My Gommission expires
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(To b~ ~x~cuhd in duptlut~ and ori~inal fil~d wi1l~ Cl~rlc Gnuit Cou~f, and dupllata with Tax A~s~or.)
800K ~v~ PACE V S1
No. 13 . r-... - - - .
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