HomeMy WebLinkAbout1143 ~claratio~ ot Oon~icii• and Citis~nahip
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and ~itisenship in the Stste of flaida that I•m filinq this day in acoordanu •nd
~n conformity with Chapte~ 22?, Section 222.17, Florids Statutes. , ~
1 was fo~me~ly a 1e9a1 ~e:~de~r of port Huron i~ich. _
(City) (Stah)
and I resided at _ 41'~ 15th St. - ~wever 1 have chanqsd my domicJle
' (Street and Number)
to and am a~d have been a bona fide ~esident of the Stste of Flo?ida aince 30th day of
Decem~er 19 , and i reside ar ~41? Byron St.
- - - (Sheet and Number) }
fORT lNERCE, SAIN? IUCIE COUNTY, RORlDA -
and this statement is to be taken as my decla~ation of citizenship, actual legal residence a~d domicile in the State of Horida.
(Insert he~e any pe~tinent fads, such as sale of property or buainess, or relinquishment of employment
at former domicile, removal of family to ~ew domicile, purchase of home, etc.)
(School Children)
Rocky Allen - 7th Grade
~~Y~ Jear.Ette - lst Grade 203~~`•)
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Sharie rtLEO ~NO aE~CO~t~E~ `
=T' ~ocEa
Po~ta~s
CLERK CIRCU T C01lAT
RECOR~ YERIFI~~
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~ 1 FURTHER ~ERTIFY that 1 will aomply with all other ~equirements of a leyat resident of this State.
~ I FURTHER CERTIFY that I have no intention to retum to my former domic~le, and ! intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_ I,0~9 Stone
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Sworn to and subscribed before me this ath day of J~ua~'Y , 19 ?1
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~ CLERK ;l s Notary Pubtic
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~ By O.C. My Commission expires
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~ Re M~oiKu~'i~: ~ ~1q1 ~ri~tnal Rl~d wilb Cl~rlc G~wit Ca+~f, a~d d~eplisah with T~x A~s~er.)
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