HomeMy WebLinkAbout1816 O~aiaratlon of Oo~lall~ a~d Citisw~ship -
TO THE STATE MIO QOUNTY TI1X ASSESSOR, -
Sl. tUC1E COUNTY, fIORIDA:
This i• my dstl~ration of Domicil~ and Citi~nship in th~ St~h of florid~ th~t I am iitinq this day in aooordano~ ~~d
i~ asnformity with Ch~ptK 222. S~ttion 22~.17. Floridi St~h»~s. .
I w~s forrn~~ly ~ ipsl hsid~nt of Vinel~nd New Jer~ey
• (CNy) (Stat~)
snd I rosidsd at _ Rd. 1~. Nsy~ouIIth Rd. 1 haw thanq~d my domidie
. (ShNt and NumbK)
ro. and am end h~w be~n a bona fid~ n:ide~t of th~ S1ab of Florkla sino~ ~4~ day of
-----~8uet . 19 70, a~d ~ nsid. at 3510 3. 4th St.
(5tn~t and Number) -
RORT N~C~, SAINT t11C~ COtINTY. lIORqA ~
a~d this :ta~emer?t is ro be taken ss my declaration of aH~snship, actu~l Ipai ~esidfno~ and domicile in th~ Sta» of Hortda.
(Insen hero any peninent facts. such as ~al~ of property or bu:in~ss, or nlinquishm~nt of ~mployment
at former domicil~, ~emovai of family to n~w domidle, purches~ of fwrr~e, Nc.)
{sohool) -
Slisabeth Carpentsr - 7th arade .
~ Judith Carpenter - 6th arad~
- A1111as Hoifaan - 5th ~rade .
doann Hoft'san - 3rd arade .
FILEO AND RECORQEO~
Joeeph. Hoffman = let Grade ST, LUCIE COUNTY, FLA: ~
RECC~tA VERIF~ED 19~46
John HoSiman - let Grads
. ~7o Auc ~s ~ ~ : oe .
,
~ ~~c~a Fo~TRas
CLERK CIRCUIT COURT=
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- ~ Fuan~ER cERnFlr that ~ wi~~ oomply with d~ other r.qi,rnm~na o~f . ~ep.~ nstd.~t of thb shr..
I FURTHER CERTIFY that I hava no intention 1o retum to my former domicGl~, and 1 intend to r~main in FORT
Q~ERCE, SAINT LUCIE COUNTY, ~ORIDA, permane~tiy. Sl1~sb~th Hotta~t~t (1[re. Mfi111sa)
X
. (N~me)
~ _
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~ _ (/1~ddress)
Sworn to~ substrit~d before me this 25th ~y ~ ~uguilt 19 70.
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_ ~ ~ ~ ~ Notary Publk
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By - . D.C. Mr ~otnmissiw~ ~xpi~
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d. ~ s''`~ ~ 'ri~;: V -
` Mioi~al Hl~i wilb CIMI[ Ci~~qrM Clwf, ~Kca1~
Ri~ a~i a~ wMw Tax A~rJ
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- . ~«~1~ ~1813
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