HomeMy WebLinkAbout0586 2o2;i2
Oeclaratio~ of Domicil• and Citis~~ship
TO TNE STATE ANO COUNTY TAX ASSESSOR, -
Sl. IUCIE ~OUNTY, FLORIDA:
This is my declsrstion of Oom~cile snd Citi:e~ship in ths Stste of Flaida ths/ I am filinq thit day in sacrdanu and
~n co~formiry with Chapte~ 22Z. Sectio~ ~~2.17, Florids Statutes.
~ was fo~merly a legsl resident of _ Be 11 ev i 11 e ^T I11. _
(Ciy) (St~ro)
12 8arden Blvd.
and I resided at However 1 hsve chan~ed my domiGle
(St~eet and Number)
to and am end hsve been a bona fide re:ident of the State of Florida since l~t_ dey of
~vem~er_ t9~0__, and I ros~de at .3 Eapanola Lane, Spanish Lakes
(Streat and Number)
FORT ~IERCE, SAINT lUC1E COUNTY, ~LORlDA Fort Pie rce, Fla. 33450
and this statement is to be taken as my declaration of citizenship, actual leyal residence and domicils in ths Staro of Florida.
~ (Insert here any pertinent facts, such as sale of property or business, ar relinquiahment of employment
at former domicile, removal of family to new domicile, purchsse of home, etc.)
RESIDENT
2oz~~
s~~uc
E couw~irR$i~
CLERK~C RC~tT
CpyR
~EOORO YERIFIEd
~ ~c 31 II 32 ~M'TO
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~ 1 RIRTHER ~ERTIFY that I will oomply with all other rsquiremenis of a le~a) resident of this State.
~ I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ALI.AN L. BOSTWIC$
~ (Name)
~
~
~ 3 Espanola Lane, Spanish Lakes
• ~ . (qd es~
~ '•`-~:~l=•:.,.,= Fort Pier~ed~ i~lorida 33450
~ J`••'vv , ~ ••'!G/= ' ~
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~ Y ~ 31st December . 70 i
~ _ : . = "~-~p~~ublctibed before me this day of , 19 . ~
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l'~ ~ ~f~~,R~bURT Notary Public
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~ 8y ~.C. . My Commission expi~es
~ Ro b~ tx~evMd in duptiuN and ori~inal fil~d wi11~ Cl~ek G?aiit Cou~, and dvplleaN whh T~x A~o:.)
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~ , ~ 600it PaGE 50~
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