HomeMy WebLinkAbout2594 Decla~ation ot Dornicile and Citizenship
TO TNE STATE AND COUNTY TAX ASSESSOR,
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~l IUCIE COUNTY, FLORIDA~ ~
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This is my declaration of Domicile and Citizenship in the State of Flor:~ia that I am filing this day in actordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a iegal reside~t of SCh@II@Ctad3/ N@W YpZ'k_ _
(City) (State)
12b1 Hawthorne Road
and I resided at . _ _ However 1 have changed my domic,ile i
(Street and Number) ;
ro and am and have been a bona fide resident of the State of Florida since 15 th day ot ~
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January ,~9_ ?0 , and I reside ar 2~54 S8IIt8 ~t~ Stree~ _ ~
(Street ar.d Number)
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FORT PIERCE, 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 pertinent facts, such as sale of property or business, or reiinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.?
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Establishing residence
FI~E~ ANO ~RECOROEO~
ST, ~UCIE COUNTY. F~A:'
c?=:c~Pn ~J~riF~Fn
2ooi~s
'10 OCT 23 pM I :3~
i;Or,E~ hOITRAS
CIERK CIRCUIT COURT'
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€ I FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State. ~
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~ I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT ~
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~ PIERCE, SAINT~LUCIE COUNTY, FLORIDA, permanently. y
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. „ G~h~~ t'1~'` {
~ ~ . . , (Name) -
2 - . .
~ , ~ _ Robe: t C. Hanna
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~ • .I ~`i~:'. _ _ (qddress) _ _
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~ Swom to and suburibed before me this _____23rd day of OCtObet 19 ?0
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w~ ROGER POITRAS
~ K CIRCUIT C URT Notary Public `
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B c /~l ~ . ~-L~ E
~ Y _ D.C. My Commission expires ;
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~ (To b~ ~x~cut~d in duplicat~ and original tilod with Cl~rk Cirwlt Court, and dupliut~ with Tax Aswssor.)
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: „ ~ oK 18'1 PAGE 2593
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