HomeMy WebLinkAbout0416 ~ ~ ! q 6~9g .
~ o.c~aratton ot ~omict~• an~! Citis~nsh~p
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. lUC1E ~OUNTY, FLORI~A:
Thi: is my daclaration of Oomicile and Citizenihip in the Stet~ of Horida th~t 1~m filirq this day in accordanc~ a~d
in oonformity with Chapter 222. Section 22Z.17, Horida StatuMs.
I was formerly a legal resident of ~~OYer Pa.
(City) tStatr)
and 1 residad at 649 East ~alnut Street i h,v. d„~+~d ,,,y do,nWw
(StrNt a~d Number) _ .
ro and am and have been a bona fide resident of the Sta» of Florida :inos spril 1 ~
_ , 1970 , and 1 rosid. at 228 Hunt Avenue
- (SfrsN ~~d Numb~r)
I~ORT MERCE, SAINT LUCIE COUNTY, ~LORIDA
and this statement is to be taken as my dedaration of atizen~ip, adu~l Ipal residence ~ns! clomicil~ in ths &a» of Horida.
(Insert here any pertinent fact:, such s: ~le of propery or bu~n~ss, or relinquidim~nt of Mnployn+~m
st former domicile, removal of family to new domicile, purchass of home, Nc.)
Placing children in echool - David and Donaa I,ou Diehl
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FIIED AND flECORDEO
ST, ~UC~E ~OUNTY. FLA.
;~E n{~r~; ~rca+c~c~
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I :~e:,~~;= ~o~T~: s
~ ~ ~ . CLERK CIRCUIT COURT
I FURTHER CHtTIFY that l will comply with.ail otF~ r~quir~rwnts of a Ipal r~sidrm of this 51at~.
1 FURTHER CEitTIFY thst I hav4 no iMeMion to retum to my former domic3lt, and 1 iM~nd to r~neain in fORT
PIERCE, SAINT LU~IE COUNTY, fIORIDA, permanently. .
• .
Doaald L Diehl
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S~w~oth ~nd wbscribsd befae me thls 31et ~y pf _ Ju1J ~q ?0 _
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