HomeMy WebLinkAbout1500 O~aia~atio~ Domiail~ and Citis~nship
TO THE STATE ANO ~OUNTY TAX ASSESSOR,
Sl. UKIE ~OUNTY, fIORIDA: .
This is my deciaration of Oomicile and Citiz~nship in tht Stat~ of Florid~ that 1 am filinq thit day in aooord~na and
in confo~mity with Chapter 222, Section 222.17, Florida Statut~s.
1 was forme~ly a leqal resident of ~ w11ID1rigtOA ~ Delaware _
~ ~ - (~ty) (Sta»)
and 1 resided at 112 N. VanBuron St. Fiowever 1 have chan~sd my domi~ile -
(Street and Number)
to ae~cl am and have been a bona fide resident of the StaM af Florida sinoe ~ 28~ day of
____~~e , 19~, and I ~~ide at 1103 ~~yflow~r gd.
(Stroet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA ~
and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any peninent fads, such as sale of property Or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) :
. , i
- (SChool) .
Ronald Daniel - 4th Grade
Steven C. - 3rd Grade
Yvette Eli~abeth - 2nd Grade
~1LE0 AND RECaRDED
ST. LUCiE COUNTY, F~a. ~
a~coRn v~~t~~s~o
~ 19`7440
' . ~tfl ~~~r. 2o r~ ~ ~ : y3
f
k IP~
~ i:4~f_R POlTRAS
~ CLERK CiRCUIT COURT
~ .
- 1 FURTHER CERTIFY ihat I will oomply with al) other requiraments of a lepal residsnt of this State. ~
1 FURTHER CERTIfY that I have no intention to roturn to my former domicjle, and I inte~d to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. - DebOI`8h BOOIIe ~MI'8. Ronald)
. ~l ~
. Q,,,,. ~ C~ ,~-r.~._..- -
tName)
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. (Address)
Sworn to and subscribed before me this 20th day of ~u8u8t ~ ~q 70
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Notery Public
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~ • I~ ~ and oe~in~l til~d wilb Clwlc Cie~aiif C~e1, and dup~aN wUb Tax Aa~aKa .
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' r~~ui~tt~t~s~ • 600K
-ST~ ~ R 186 ~~498
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