HomeMy WebLinkAbout0324 ge~larallon ot D~rt~~61le and Cltlz~n~hi~ -
TO THE STATE AND COUNTY TAX ASSESSOR, ~ ~~~C,'3~~,t~
51. IUCIE COUNTY, FLORIOA
This is my declaration of Dom~cile and Citizensh~p in the State of Florida that I am fil~ng this day in accordance and
~n conformity wilh Chapter 2~2, Section 222.17, Florida Statutes.
I was fo~merly a legal resident of ;,gq~ jjl~ - _ ~(j~gp.------
(City) (Statei
and I resided at 61S SOLittl 2IId StI'e@t _ Nowever ! have changed my domicjle
(Street and Number)
!o and am and have been a bona fide resident of the State of Florida since Febr'18r3T . day of
, 19_~~ , and 1 reside at 8.8..~.X_ 15b _~alida.. Dr~v~j1F ~~Qrt St I.ucie
Florida (Street and Number)
FORT PIERCE, SAINT LUClE COUNTY, FLORIDA
and this statement is to be saken as my declaratio~ of citizenship, actual legal residence and domiciie in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of famify to ~ew domicile, purchase of home, etc.)
F~LED`AND RECpROFD~
ST, ~UCIE COUNTY; FLA.'
R~COR(? VERIFIED
i ~~53
'T0 SEP I 8 IW I I: I g
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:iomestead CIERK CIRCUIT COURTj
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~ 1 FURTHER CERTIFY that I wil) mmpl with all other r uirements of a I al resident of this State.
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~ I FURTHER CERTIFY that 1 have no intention to return to my forme~ domicrle, and I intend to remain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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La, L r~ /ti_-c ~ Q
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(Name) Ruth T. ~retsch
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~ 1~-~-~a:.i.da.~--r, ~t.1..f-_.Ear~ ~iei~ce, Fla
~ (Address)
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Swom to and subscribed before me this __1L3~.-__ _ day of -----~EptEmh~T__
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~ ROGER ~OtTitAS ' ' ~
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~ CLERK CIRCUIT COURT Notar Public ~ , '~y- ' _
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~ BY D.C. My Commission expires _ O t -
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6 30 1 y.~
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Ro b~ ~x~cut~d in dupliut~ and ori~inal filod with Ct~ric Grcuit Courf, snd dupliut~ wifh Tax Ass~ssor.)
~ BORr 10~ ~AGE 324 ~ ~ " •
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