HomeMy WebLinkAbout1486 i
Deciaration ot Don~iCile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, ~i':73~;3
il. IUCIE COUNTY, FlC'RIDA
This ~s my dedaration ot Dom~ule an~ Citizenship in the Stete of Florida that 1 am fil~ng this day in accordance and
n conformity with Chapter 222, Sectio~ 222.17, Florida Statutes
i~alveston :exa~
~ was formerly a legal resident of .
~~;fy~ (State)
and 1 res~ded at 1~1~ Ave~.u~ g y
Nowever I have chan ed m domitile
(Street and Number)
~o and em and have been a b~na fide resident of the State of Florida since OC t0 DeZ' S day of
3203 Tennessee Ave •
, 1970 , anc I reside at _ _ -
(Street and Number)
FORT PIERCE, SAINT IUCIE ZOI~NTY, FLORIpA
yr,d th~s statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Flo~ida.
(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.) _
FI~EO AND RECORD~D~
~.arvin Craig, III ST. ~UCIE COUNTY, FL'A.'
c~~coRn v~~iFrFo
1~~3~;3 ~
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'TO OCT 6 AN 8: 57
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RO~ER ?OITRAS
CLERK CIRCUIT COURT.~
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~ 1 FURTHER CERTIFY that I will comply with all ofher requiremenis of a legal resident of this Siate. r
1 FURTHER CERTIFY that I have no intentio~ to return to my former domic,ile, and 1 intend to remain in FORT
~~FRCE, SAif~lT LUCIE COUNTY, FLORIDA, F~ermanently.
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~ ~,;.~i~:~if:i:~~;,. _ ~ e~ -Beverly Teitsort
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~ l~~~' •.ksubscritsed before me this -fiY.l1___-- da of -_.~_~4~22~T_--. , 19~Q_.
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~ lOG~R 'OITR/1S -
~ CLERK GRCUIT UR ~ Notary Public
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~ 8y ~ u_-__ ~.C. My Commission expires ~
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J (To b~ ~x~cvt~d in dupliut~ and orisinal fil~d with Gtrk Circuit Cou~f, a~d dupliut~ with Tax Ass~s:or.)
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