HomeMy WebLinkAbout1660 O~la~atlo~ of Oomicll~ a~d Cltis~nship
TO THE STATE AN~ COUNTY TAX I?SSESSOR.
Sl. UJCiE Cal1NTY. FLORIDA: .
This is m~r d~cla~ation of Oomicil~ ~~d ~itit~hip in th~ Stat~ of Florida that 1~m filin~ this day in ~ooorda~ ~nd
~n oonforn+ity with Chapt~r 222. S~ttio~ 222.17, F{orida StatuMs.
1 was formsrly a Ipal raid~~t of ^r~ ~
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snd 1 rosidsd at 33 C`"'`'~'~ . Hovwwr 1 Mw dunq~t! my domidl~
iStnM a~d Numbe~)
ro and am and have been a bo~a fid~ nsid~nt of th~ St~i~ of Fioride sinoe - ~ 1 r~ day of
~..~z~i
19~, a~d 1 roside N~.j ~ ~ U-4Z'..-..~.~.. C~° ~
t (Sh~?t a~d Number)
~ ~e~cE, s~ waE oouNnr, ao~a~~ ~
end this statement is ro be taken as my dedantion of dtizenship, actual Ipal ~~sid~no~ snd danicil~ i~ the State of Horida.
(Inssrt here any pertins~t facts, surh as sak of property or busi~ss, o? rcli~quishmant of ~mployment
at former domici{e, ranwval of family to n~w domicile, purchase of home, N~c.)
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~ I FURTHER CHtTIFY that 1 will oomply with sll oti~ nguinrt~snts of a Ipa) nsident of this Stete.
~ ! FURTHER CERTIFY that 1 hava_ no inte~tion t~n retum to my former domicjle, and 1 intend to remain in fORT
PIERCE, SJ11NT LUCIE COUNTY, FLORIDA, permane~Ny. -
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~ ~~'Swon+ to ard wbstribed bef~e me this day of , 19
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CZtC~T COURT Notary Pubiic
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~ O.C. My Commission ~xq~ss
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R~ 1~ ~or~.wMr iw d~licaN a~d «ioiw.l tii~ wMl~ G«~k Circrif Gw~, a~d irptial~ wilb Tax A~~a
~189 ?,~~,655
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