HomeMy WebLinkAbout1667 O~~t~011 O~ 001111Q11~ a111~ ~~lr11~11p
?O TNE STATE AN~ ~OtJNTY TAX ASSE~SSOR, ~
Sl. LUCIE GOUNTIr, F10RID11:
. This is my d~dar~tion ol Domitil~ ~nd pti~nship in th~ St~t~ of Horida thN 1 am filinp thit day in ~ooord~no~ u~d
in oonformfly wlth ChaptK 2ZZ. S~ttion Z~Z.17. Florid~ Stah~.
1 w~s form~?ly a Ipal ~id.ro of ~roton, ~ Connecticut
- K~H~ ~ (S~~»)
and 1 rosidsd at Yote e~.~nu~ - . How.~?.r i~w chan~.d n~y danwN -
• (Str~t ind NumbK)
to ~~d ~m and haw b~en a bo~a fid~ ~id~nt of the Stah of florida sinoe ~..~.t day of
_ ~gugt , ~q~, ,,,d ~ ~ 3530 3. l~aderal Highwa~
(StreN and Numb~r)
l~ORT M~, S~AWT LtIC1E COtiNTY. lLORq/? ~
and this,statement i: to be tak~n as my dsdaretion of ciN~tnsi+ip, actual le~l raideno~ and domidle in the Stst* of Florida.
pnssrt hers any pertinent fects, such as sal~ of property or bu:iMSS, vr rellnquishment of empiayment
at former domkile, romoval of family to n~w domkil~, purcha~ of honw, etc.) . ~
~o put ahildren in eohool ~
~ Ft~EO AND RECORpE~
_ St IUCi~ ~pUNTY F1,,4.
Zyeaa l[ae Llnshan ~{E CO~D VrRIF~Eb ~
Thonae l~'rancie - ~9~r$s,~
~ David donathsn . 'l~ ~ 2 y /~y ~ ( ; 36
'e' ~;~,~c~
CL~RK~ r R rQ!-T~4S
~ CiR~~1t COURT~
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I FURTHER CHtTiFY th~t i will comply with ~il o~lt~ nquir~rrants of a lepal ~id~nt of this Stah.
i FURTHER CERTIFY that I hava no intention to retum to my former domiqle, and 1 intend to remain in fORT ~
PIERCE, SAINT LUCIE ~OUNTIf, FLORIDA, permanently.
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~ _~`~F~'~- 35j0 3.Fadaral Hi~hwag
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- ~ ~ ' ~:s'~*',~:.~ - ~ - (A~ddress)
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~snd wbsuibsd bsfore rr~ this 24th AuRUSt , 1.91Q.
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ROalR ~OIYRAS
G~K CfRGMT COURT Notary Publk
9~r . . O.C. My Commis~lon fxptn~
Ro M~ Iw d~lia» awi ~yMr Ai~i wMM Cl~k Cks~N Gw~, a~i i~lieM~ wiN~ Tax Ar~J
~186 .
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