HomeMy WebLinkAbout2608 Otala~atio~ ot Oon~lail• a~d Citis~ship
TO TNE STATE AN~ COUNTY TAX ASSESSOR, i`~~_i
Sl. lUC1E ~OUNTY, flOR10A: ~
ihis ~s my dectaration of Dom~ule and Citizensh~p in th~ Stet~ of Florid~ th~t 1 am filinq this dsy in scco~d~ncs and
~n tonfwmity with Chapte? ?2~. Section 222.17, Floridd Ststutet.
1 was fo~merly a legel ~esident of . A.~~ - - - ~!d!~'-~. - -
~ (City) (Stats)
la0 ~o~ueia Ha¦NS .
end I resided at Su . However 1 have changed my domic.G~e
' (Street and Number)
ro and am end have been a bona fide resident of the State of Florida since day of
~ - - 19
~ , and I reside at --~OI_ r~ - ~ Qa..~~
. (Sireet and Nurriber) - - -
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual lega~ residence and domicile i~ the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or ~elinquishme~t of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Plsoina ohild in p4blio ~ool - P bprllis Last~r
FILEO ANO RECORDED
ST. Ll!C1E COUNTY. F! .
. ~~t~^- vFR:r-:E ;
~ 198i: r~
- '70 SEP 9 AM 10: 40 )
. ~ ~nar~
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i:C;~:~R i=0lTR
CLERK CIRCUIT C URT
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I FURTHER CERTIFY that I will aomply with all other raquirements of a le~al resident cf this State.
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I FURTHER CERTIFY that 1 Frave no intention to retum to my former domicjle, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. . ~
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~N Hasel Last~r
~
(Address)
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:...S~rj~q;~c~d subscribed before me this ~ day of ~~~°r , 19
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~ - ~ Notary Public
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6y D.C. My Commission expi~es
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R~ i~ ~ iw duplieal~ ~wd orioinal Al~d wilb p~ek Cie~vi~ Cov~f, and d~rplieaN wifb T~x As~or.)
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