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HomeMy WebLinkAbout0469 N'~~nn E. T. C-6U1-U (50\1-9~83) ~ / %~UgS j3 Declaration of Domicile and Citizenship '1'() 1'}IE ti1'AT~ aND (:(~UNTY TA7C ASSESSUR, • 5aint Lucie CUUNTY. FI.ORIDA: 17iis is n~y d~•c~l.uatiuu uf l~umicilc au~t Citizr~utup in tl~c State of Florida tLat I am filing this day in uccorci- ancc?, and in oonforn~ih• ~~•ith S~rti~?n '.;?.,~,17, Florida Statutes. I~~•as f~~nnerly a 1~~~;al n~sid~ nt of CI ~ f l i n t4 u^: S~aS , ( Cih~ ) ( Sace ) and I msid~ci at R~'~{*2 _ _ . However, 1 have changed my domicile _ ! Strect and Numba ) s to and am and h.err Ix~en a lwi~a fide resident of the Statc of Florida since ~~see below// day of 3 - - _ . 19-- and I reside at (Street and Number) _ E Qx't S~ Lu~f€ _ Saint LuCie County, Florida„ ( CitY 1 anc) this state•~i?r~rt is to !?r t:il:eu ~u my ckYl.~ratio» of citizrnship, actual lebal residence and domicilcs in the State uf Florida. ((nsrrt hrre any pertincnt fa~~ts, such as sale of propetty or busiz~sss. or relinquishrtteut of eutpbymeat at ~ lurn~er domicil~ ren~oval of famJy to new domicila purchase of home. etc.) ; i //G~:ntlement I am a i~~arine on active duty and pl~n retirement from the ~i:orps soon. ,~:y ~lans include Florida as my future home. ; ~~lthough I~resently do not have a domic1~t in F;orida, I do own a :~ome site in c~ort St :,ucie, vot 55, 31k 463. ~ection 26; have -~aid r~uired 1970 taxes ~48799/$$~.09, and inten~ to b;iild a residence on t :is pro~~~erty~ ; ~ •~-y ; revious legal state residence "lCansas" is no longer valid, } there;:ore I de_.ire to : ecor~e a Zegol re5ident of F'lorida at this ~ time. ~ If r.zy re~uest ~~r residency is a-~Yrov~d, I will en;ure t`~at ~ you ~re kept aw~re of my current address until I dor~icjk in r'lorida. y reply wili be a~: reciated. ~inCerely, FI~ED a~~ RECORDEO ST. LUClt COUMTr f~A_ ROGER POITR~S CtERi~ CI~tCUIT COURT ~ ciernar . F OSS~CORD vER~fiE~.~~ ffe 11 i0 08 ~M'T1 ' ~ 2045i3 ~ ; , ~ E i ` 1 I~L'RT11~N (:ER1'tF'l' t6at !~~•ill register at my 1 al address when the registration books reopen, and < <~~~siph~ ~~-itZi all otln~r r~~yuirrmcnts oI a leg:il resident of ' State. - ~ f FL~ RTI1 F:R l:I~.RTI ~ 1 that I have no intention to return to my former domicile, and I intc>ud to a~n : rort St Lucie St Lucie - E - - County, Florida, ; ~ {~rnnanend~•. : _ ~ i ( Name ) ` ; .~ernard J. r: o~SE"rc 1 Lt L:.t•:C ~ ; ~ ` (Address) i S~~ orn f9 ~~:s~cr}bed.before me this 8~ day of ~ 912 .~1 t ne a Jr r _S - ` _ ~~nnanda? e Virginia 22003 . A. D. 191~. ~ r._ . , • _ ~ ~ , , r _ ~ -t. I~I, ~J' . ~%2 J~~ - / . . !_t'< ~ . { ii - - .~i~~.f'.c.~ d-~- ~-,~2~ _ 'f. ~ • liaT 20, LY71 x (To be exatiutc~l m duj:lu-ate and original fiied with C1etk Circuit Couct, and duplicate witL Ta= Ast~eator) ' f ; _ ~ BUt~i~c ~ z ' . - ~ _--'s, _ _ : x, ~z ~ ~ = r , _ , . . . _ , s~-x . ~ ,