HomeMy WebLinkAbout2026 D~claratlo~ ot Dofniall~ and Citis~~ship
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TO THE STATE AN~ COUNTY TAX ASSESSOR.
51. LUCIE ~OUNTY, FLORIDA: ~
Thli is my declaration of Oomicile snd Citize~ship in the State of Florida that 1 sm filin~ thit dsy in acoo~da~os and
in conformity with Chapte~ 222, Ssction 222.17, Florida Ststutes. -
. ~
1 was formerly a leflal resident of ~ S~ ~ O ~'r'41'
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and 1 resided at _ x~ 0 L ~'v w~v~/9 .STiE'~P~ However i hsve chsnped my domic3le
. (St~est a~d Numbe~)
,
to and am and have bee~ a bona fide resident of the Stats of Florida sinae -_---2~ ~lay of
~,~T~ 3 d , 19~5~ and 1 reside at - 2.i. 0 7!~ v~
(S t and Number)
FORT M~CE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my deciaraYwn of citizenship, actual legal residenoe and domidle in the State of Horida.
(Insert here any pe~tine~it fads, such as sale of properry or busineu, or relinquishment of employment
st fwmer domicile, removal of family to new cbmicile, purchase of home, etc.) ~
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I FURTHER GHtTIFY that 1 will oomply with all other requi~ements of a lepal resident of thk Stste.
t FURTHER CERTfFY that 1 have. no intention to retum to my former domivie, and 1 intend to remain in FORT-
PIERCE, SAINT LUCIE COUNTIf, FLORIDA, permanently.
?~i~..t~.-.-~.?~i
(Name)
ess)
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ibed before me this dsy of • 197/~
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. u . • ,,j Notary Public
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g~~'• ~ O.C. My Commiuion expiras
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Re' :x.w1.d i~ auplical. .nd ori~insl Bl~d wi1M u..k ckaih cewt, .~d d~plic.~. wHb T.x A.»....a
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