HomeMy WebLinkAbout2835 D~claration ot Oon~lalle and Citiz~nship ~
TO THE STATE AND ~OUNTY TAX ASSESSOR, •
51. WCIE COUNTY, FlOR10A:
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This is my declaration of Domicile and Citiienship in the State of Florida that I am filing this day in sccorda~ce and
~n conformity with Chapter 222, Section 222.17, Flo?ida Statutes.
I was formerly a legal resident of F 7c e e~Q_ O z' t _ New York
Kity~ (Staro)
and 1 resided et 2 $_18 t Stre e t However 1 have changed my domi~ile
~ (St~eet and Number) _
to and am a~d have been a 6ona fide resident of the State o'f Florida since ___?th_- _ day of
__~u$~ , i9
Z, and i ~es~de at _$t 2 Boa 3310 I~ahewood Park
(Street and Number)
FORT r1ERCE, SAINT LUCiE COUNTY, RORlDA
and this statement is to be taken as my declaration of citizenship, actual legal ~eside~ce and domicile in the State of Florida.
(Insert here any pe~tinent facts, such as sale of property or business, or relinquishment of employment
et former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence
202,225 .
F ~E01iNO qE ~4 .
s~.ldtZ{E GOIN~N~~'""
~ocEa ro~ c~
I1E001~~
~.c 16 11 ao I?M'il
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1 FURTHER ~ERTIFY that I will oomply with all other raquirements of a(eqal resident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domitile, and I intend to remain in FORT
PIERCE, SAfNT tVCtE COUNTY, FLORIDA, permanently.
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: , Herbert ~ Appelmann
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, ~ ~ - •y:• Dorothy H. Appelmann
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~O~~~ubscribed before me this 16th day of December , 19 ?4
''•'~•~~~~~~~~~,5``~ ~ . _
ROGER ~ORRAS
GRCU COURT Notary Public
B Q~~~ D.C. My ~ommiuion expires
lTe b~ ~x~arl~d ie d~plicah and o~inal Hl~d whb Clwk CiraiM Court, and d~rplkab wi~h Tax A~er.)
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