HomeMy WebLinkAbout0817 2028:~~)
D~cla~atla~ ot Oomiclis and Citi:~nship
Tv THE STATE ANO COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FtORIDA: .
This is my declarat~on of Uomicile and Citizenship in the State of Florida that 1 em filing this day i~ eccord~nos and
~n conformity with Chapter 222, Section ~22.17, Florida Statutes.
1 was formerly a legal res~denr of _._Brookl~rn _ _ Yichigan _
(City) (Sta»)
and I resided st _12262 _B@8Ch ROSd Howevef 1 have chanqed my domiCile
(Street and Number)
ro and am a~d have been a bona fide ~esident of the State of Florida since 15 th day of
November , ~9?~ , and I ~es~de at 2a19 South 3rd. St. , _
(Street and Number)
FORT PIERCE, SAINT tUC1E COUNTY, FLORIDA
and this stateme~t is to be taken as my declaration of citizenship, actual legal reside~ce and domitile in the Stste of Horida.
(Insert here any pertin~nt fads, such as sale of property or busineu, or ~elinquishment of employment '
at former domicile, removal of family to new domicile, purchase of home, etc.)
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Residence---Domicile 202859 ~
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~ I FURTHER CERTIFY that I will oomply with all other requireme~ts of a lagal resident of this Stste. _
~ I FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I'ntend to remain in FORT
~ PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanentiy. ~ ~
~ AOBERT F . HAlbIdER
~ ;,~,e~trii:.:;
~ ~ ~ . ' . (Name)
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= ,tia,*.~-,
~ ~ ' ~ ~ ~ 2Q19 South 3rd. Street Ft. Pierce
. w~:' ,
~ ~ J%' ~~~~~~1 (Address) ' FlOZ'ida 33450
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~ .~,~:fo,a~d~s~l+scribed before me this 4th day of January ~ 19 7Z
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~ Roc~e rotn~?s
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~ CIRCUIT COIJRT Notary Public
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~ gy D.C. My Commission expires
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~ Ro b~ ~x~cvl~d in duplical~ and orioinal til~d wHh CIMIc praiif Courf, and duplicah wiN~ Tax A~sr.)
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~ BOOK 189 PaGf 81~
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