HomeMy WebLinkAbout1393 Declaration ot Domicile and Citizenship
TO TNE STATE AND COUNTY TAX ASSESSOR,
51. (UC1E COUNTY, FLORIDA:
This is my declaration of Dom~ule and Citizenship in the State of Florida that I em filing this day in accordante and
~n conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was formerly a legal resident of ~~t,pm j~~_ ~pr~-
(City) (State) ,
t
44 3ao~obtown Esta~e•
and 1 resided at _ However 1 have changed my domiGle
(Street and Number)
ro and em and have been a bona fide resident of the State of Florida since ~~eeber 30 day of
19
70 and I reside at ~~~rl~ Trailer P~1i'k
-
4611 30~ ]rdlrsl #Z i~~~eet and Number)
FORT PIERCE, SAINT tUC1E COUNTY, FLORIDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pert~nent facts, 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
P'iaoin~t ehildrea in publio ~eh~l - H~ri an~° Jessp6 Flynn
,
FILED ANO RECOR~ED'~, .
S?.RE
~R;~ Vv~T~ ED`A~.
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; CLERK CIRCU~Z ~OURTa
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I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domic,ile, anc! I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ - - ~ e) ,Toae 1rY Jr. 3
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(Address) j
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SwOp1`~~~nd subsEti4~ed before me this _ day of _~ti9~42 , 19~__.
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~ C;ilK~C~NT RT Notary Public
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By . ~N~ D.C. My Commission expires _
(To b~ ~x~cvta! in dupliut~ and ori~inal ~il~d wfth Cl~rk GrcuN Court, and dupliut~ with Tax Ass~sw?.)
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