HomeMy WebLinkAbout2888 o~cluatio~+ o~ oo~lau~ and C1tlsMShlp 211~~ 132.
t0 THE STATE ANO COUNTY TAX ASS~SSOR, •
St . lUC1E COUNTY, fLORIDA~ ~
Th~s ~s my dscleration of Oom,cile and Cit~srnsh~p in th~ St~t~ of Flor~ th~t 1 am filinp this day in acaord~nw ~nd
~n oo~fo?mity with CfiapM? 222. S~ttion ~~2.17, Fbrida Statut~s.
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I was forme~ly a Ipal rosident of ---_~l~'- - -
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and I~sided st •~C7`~~%1'!l~_~G~~ //~G'.• Mbw~vK 1 hav~ chu~~d my domitile
~t ~nd Number)
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to end am and hsve been a bona fide rctident of the Stat~ of florida since - - d~r of
. 19~
U,~nd 1 rosid~ at ~ C~ :
- ~ (Stnsat a~d Numbe~)
PORT MERCE, SA1Nt lUC1E COUNTY, RORIDA - •
and this statement is to be taken as my declaration of citinenship, actual le~al residenoe and domicile in the State of Horida.
(Insen here any pertinant facts, such as sale of prapertr or business, or relinquishme~t of employme~t
at former domicile, removal of family to new domicik, purduse of home, etc.)
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1 RlRTHER C~RTIFY that I will aomply with ~II othsr requirsm~nts of a lepal residsnt of this Stat~.
~ ! FURTHER CERTiFY that 1 have no intention to retum to my fOrmer domicjle, snd 1 inteAd to remain in FORT
PiERCE, SAiNT LUCIE COUNIY, FLORIDA, permane~tly. ~~S ~`r '8°°f'~ -
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~ Sworn ro and subscribed before me this day of , 19~.
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~ ' Notary Publit .
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~ By ~ _ ~ D.C. My Commiuion expiras
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