HomeMy WebLinkAbout2862 D~ala~atiae~ ~ Daniail~ a~el Citl:~nship
TO THE STATE ANO COUNTY T.U( ASSESSpR,
51. tlK1E ~OUNTY, FLORIOA:
This is my d~cle~atio~ of ~wnicile •nd Citinnship in th~ St~t~ of Florida tha~ 1~m filinq thit d~y in aooord~no~ and
~n tonformity with Chspte? 22Z. Stttio~ 2?2.17. FiOtid~ St~tuhs.
I was formerly a leqal resEdMt of ~'t -
(~ity) (St~»)
and 1 resided at _ However 1 hav~ thupst~! my dorr~iCile
(Stnet and Numbe~)
ro and am and have been a bona fide resident of tl~e Stste of Florida sinee day of
Ja~ 71
- - . 19 , and 1 reside at n- ~
(Street and Number)
FORT M~tE, SAINT LUCIE COUNTY, RORIOA
1
end this statement is to be taken as my declaration of citizenship, act~al leqal residenos and domicile in the Staro of Florida.
(Insert he~e any pertinent facts, sucfi as sale of p~operty or business, or relinquishment of employment
at fomner domicile, removal of family b ~ew domicile, purchas~. of home, etc.)
2G'411'7
Eai~lfas ~iil~ ia ss~Nl nLEQ AR~ RECOR~t~ _
`~-ET. WCIC COUNTY lA. '
- ~ ROCER t01TRAS
CLERK CiRCU1T COURT
• IIECORD VER1f1E0~~
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~ I FURTHER ~HtTIFY that 1 will aomply with all other ~equirsments of a ie~al resident of this State.
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~ 1 FURTHER CERTIFY thai 1 have no intention to re4um to my former domicjle, and I intend to remain in FORT
PIERCE,~~I~IT. Lt;C1E COUNTY, FLORIDA, permanently.
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~ Swor'ri 'to and subscribed before me this ~ day of ~~17 , 19 n.
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~ R~iER ~OtTRAS
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~ p~K CIRCWT COURT Notary Public
'~a.c.rE.t-L ~a~e-~~
~ By O.C. My Gommisian expir~s
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~ tTe b. .x«w.a in dupNc.~. .nd o.s~i~al RNd wil1~ u..# cie+a~it c~M, .nd drpu~.+. will~ Tax As....o.a
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