HomeMy WebLinkAbout1782 Declaration ot Dornicile and Citizenship
TO THE STATE AND CQUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORIDA:
This is my dec!aration of Domicile a~d Citizensh~p in the State of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a ~egal resicient of S~TlIIgfl@Id ~h10
(Ciry) (State)
and 1 resided at 5141. TrOy_ Rd. _ However I have changed my domic,ile
(Street and Number)
1o and am and have been a bona fide resident of the State of Florida since 5th day of
October ,~9_70 , a~d I reside ar _ 1701 Zinwood Ave.
(Street and Number)
FORT PI~RCE, SAINT LUCIE 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 pe:tinent facts, such as sale of property or business, or relinquishment of employment
at former ciomicile, removal of family to new domicile, purchase of home, etc.)
(~chool Cnildren)
Debra Kareen - 9th Grade
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Glarence Dean - 7th Grade
Rochelle Renea - 4t~ Grade F~~ED AND i~ECOR0E0'`
ST. LUCIE COUNTY, FLA.
t2C C~rti ~Ir?21F~~D
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'~0 OCT 9 PM I: 3 s
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i FiOG~R ~OITRC.S
CL£RK CIRCUIT COURT'
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$ I FURTHER CERTIFY that 1 will comply with all other requirements of a legal residept of this State.
~ I FURTHER CERTIFY that I have no intention to return to my former domi~iie, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. B@V@t13/ Reese
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~ ~1_~~ ti_~. lc ~-t ~.~;t,
~me)
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(Address)
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' 9th October 19_?0
~ Sworn to and subscribed before me this _ _ day of _ _ _
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~ RpC.~R. ~~TR~R~
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C~RdJ1t• 40U$T Notary Public
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~ By _ _ D.C. My Commission expires
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~ fTo~b~~'~+cRCW~d'jn.duplicat~ and ori~inal ~il~d with Cl~rlc Circuit Courf, and duplicat~ with Tax Ass~ssor.)
~ ' : ~ ' 0 R ~O~ CE~~~~
~ • ~ BOOK PA
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