HomeMy WebLinkAbout1440 O~claration o! Domiail• and Citis~nship
TO THE STATE ANO COUNTY TAX ASSESSOR, - .
51. tUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida th~t 1 am filinq thit day in aoo~rdano~ and
~n oonfo~mity with Chapter 222, Section 222.17, Florida Statutes. ~
I was formerly a leflal resident of Zinden ~ New Jersey
(City) ~ (StaM) -
and I resided at 127 JeffeY'8o1'1 Ave. . However t have charpsci my domldle
~ (Street and Number)
to and am and have been a bo~a fide resident of the State of Florida :~~xe 3rd day of
Auguat , 19 70, a,~d i~~de at 150 I,alceheret Dr. P. St. Lucie
_ (Streef and Number)
FORT'IERCE, SAINT LUCIE COUNTY, RORIDA ~
and this statement is to be taken as my declaration of citizenship, actuat legal reaidenoe and domicile in the State of Horida.
(Insert here any ~pe~tinent facts, such as sale of property or business, or re)inquishme~t of employment
at fo~mer domicile, removal of family to new domicile, purchase of home, etc.)
• (School)
Valerie Ann - 4th Grade
Scott 1~illiam - lst Grade -
FIl~O AND RECORDEO~ -
ST. LUCIE COUNTY. FIA: _
RECORD VERIftED
'TO AUG 19 PM I; qq9~3~8
pXie
,F ~ i.
CLERK C RCUIT COURT ~
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~ I FURTHER CERTIFY that I will oomply with all otF~ raquirerr~nts of a lepal rosident of this State. ~
I FURTHER CERTIFY that I have no intention to retum to my fo~mer domi~ile, and I intend to remain in fORT
PiERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. 80b@Y't L. 1[OL1680~i
~ ~ U~~~ '
(Nams)
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~ - . - (Add~ess)
i-:. - .
Sworn to.end.:su#~dit~ed before me this 19th day of e~u$t 19
. . , z. :
``1~~~1~~?,N:i ~
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~ ~ • ~ ~ Notary Public ~
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By _ O.C. My Commisi~on ~xpires
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tTe bi ,ed eri~inal Al~d wMb u..k u.wM cowt, .nd d~plicat. witl~ T.x A~..«.ra
~::•,,1,~~ta~,,,;,~~~~~: ~ eooK186 ~1438 -
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