HomeMy WebLinkAbout0731 ~eciaratlon ot Dornicll• a~d Citis~~ship
TO TNE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, fIORIDA:
This is my decls~ation of Oomrcile a~d Citite~ship in the Stete of Floride that 1 em filinfl this dsy in acoordsnce and
~n conformity with Chspte~ 222, Section 222.17, Flo~ida Statutes.
1 wes fo~merly s legal ~es~der,t of ___._~~?ynesville Ohio
(Ciry) . (Sta»)
and I resided at P_._C.BOZ 1 _ However 1 have chanfled my domiqle
(Sireet a~d Numbar)
ro end em and have been a bona fide rosident of the State of Florida since 213 t dsy of
-__~@CembSZ________, 19
ZQ, and 1 roside at 2306 T8Z'DOn Ct.
~ . (Street and Number)
FORT MERCE, SAINT LUCIE COUNTY, RORiDA
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and this statement is to be taken as my declaration of citizenship, actual legal re:idence ar?d domicile in the State of Horida.
(Insert here any peni~ent facts, such as sale of property or busineu, or ~elinquishment of employment
at forme~ domicile, removal of family to ~ew domicile, purchase of home, etc.)
(Sc~ool Children) 202814
f~~Ep AND RECOIt
. ST.InUOQE~ POlt~AS~~.
Rickie Zee Adams - lOth Grade OLERK CtRCUIt ~01111T ~
RECOR~ VEi1~F~E0
Nevin Rudie - lOth Grade 8~~~~~
Eddie Qan~inkle - 3~fl Grade -
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~ 1 FURTHER CERTIFY that 1 will oom with all other r
~ p~y squirements of a leyal resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domicjle, and f intend to remain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently. jti~ Ttl6 Rudie ~MTS . Ted Rudie )
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~ Sworrt to a~d subxribed before me this 4 th
~ day of J811uary ~ ~q~,
,:u:i..~r.
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: ROGE~.: •
Notary Public
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~ gY ~.C. My Commission expires
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t Ro `f 'i~oiw~. and ori~insl fil~d with ClMlc G?svM Court, •nd duplicat~ with Tsx At~or.)
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= " - eo~r 189 F~cf .730
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