HomeMy WebLinkAbout2674 v
acluatio~ ot Oom1aU~ ar~ Citis~nahip
TO THE STATE AND C'OUNTY TAX ASSES~Q~R.
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s~. ~uc~E couNnr. F~oRia?: ' 2C 3~g
m~• my d«iaration of Oomicil~ ~e~d ptibnship in th~ Stah of f~lorida that 1 am filinp this day in ~ooord~w ~nd
in aoni~mity with chaptK 2Z4. S~ctia+ 22~.t7, Norida Statuhs.
~ w.s f«n+~lr . Ipal hsid~nt of %r~'.lJr,c.~P~n~~ _
(City) (St~»)
and 1 r~sidsd •t ~~:ss %J ~ ~i~-~.^ ~~.c.~ . - Hor~rtvK i haw tharp~d my domiai~
(Stn~t a~d Numb~r)
to and ~m and haw bsen a bona fide ~ident of the Stsro of ~lorida sir~a ~ 7 ' day of
, t 9~., •~d ~ hs~d. at c~ 7O 9 ,c~rut.t~ -
~ (StroN a~d Numbs~)
lrORT !'IERCE, SAINT LUCIE COUNTY, fIORiDA ~
~nd this ttatement is ro be taken as my declaration. of citizenship, actual leQal ~ei~danoe and domicile in the Stat~s of Horida.
(Insert hero a~y pertinent fects, such a: sale of property or bu:insss, or relinquishment of ~mptoym~nt
at ~ormK domicile; nnwva! of family to n~w domicile, purchase of hom~. ~1c.)
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~T
~UCIE COUMTYRf~A.
ItOCER FOITRAS
CLERR C~RCUIT
lIECORD VER~FIEO '
~ J~ 19 3 i9. '11
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1 R/RTHER GHtTIFY that I will comply wifh all oth~r nquir~nwnts of ~ tpal ~id~nt of this Stat~.
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I FURTHER CERTIFY that I havs rw intention to nturn to my former do~niGle, and 1 intend to r~main in FORT
PlERCE, SJ11NT lUC1E GOUNIY, FLORIDA, permans~tly.
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'~~~"rot1~~,{P~~ibed befor~ nn~ this day of 19~.
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R
ROGER tOITRAS
CIR COt1RT . Not~ry Public .
6~? ~ ~.C. ~ My Commiuio~ ~xpi~
(T~ bt ~awl~ M d~plisal~ ~ed wi~al fil~l wilb Clwlc CMwi1 Cwh, and duplicsl~ with Tax AtMwora
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