HomeMy WebLinkAbout0362 Declaretion ot Do~icile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR, ~O~+pC
v~
Sl. lUC1E COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal resident of _ Li111t011 _ N. C.
(City) (State)
and I resided at __I'i113tOri N. C. _ Fiev?rever I have changed my domiti~e
SSfreet and Number)
November 4
to and am and have been a bona fide resident of the State of Florida since _ day of
. 19?~ , and I reside at ~T~
if~t,~~' Mobile Homes
(Street and Number)
FORT MHtCE, SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to be take~ as my declaration of citizenship, actual legal residence a~d domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of propery or business, or relinquishmgnt of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
Ricky and Steven Stone
OLEAK ~ ~AT
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2CQ~85
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~ 1 FURTHER CERTIFY that I will comply with all other requirements of a leysl resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
. v' ~
(Name) Dor'othy Stone
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~ ~ ~ ~~`,r~p~'~ubsuibed before me this day of ~Ll , 19 ~
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~ By .C. My Commission expires
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Ro b~ ~x~cuNd 1a dvplicat~ and oripinal fil~d with Cl~lc UrwM CouN, •nd duplicah with Tax Ass~s~or.)
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