HomeMy WebLinkAbout1023 Oeclaratlon ot Domicile and Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
I
Sl. LUCIE COI~NTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in eccordance and
+n conformity with Chapter 222,,Section 222.17, Florida Statutes.
~ was formerly a legal resident of Fayetteville North Carolina
(~;ty) (State)
and 1 resided at ?46 Stoneykirk Drive However 1 have changed my domic,i~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~h~.1Qfh__ day of
__I2s~smbst. 19?~_, and I reside at 30 Sinclair Road
(Street and Number)
PORT PIERCE, SAINT LUCIE COUNTY. FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residente and domicile in the State of Florida.
(Insert here any pertine~t facts, such as sale of properry or business, or relinquishment of amployment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Purchased homesite in Dec 1970 at Port Saint Lucie. Removed family from
former domicile in Oct 1969. Filed change of domicile through official US
Army records 10 Jan 1971. Required to claim temporary absence from domicile
in State of Florida due to current active military service obliga tion. Due to
low market-caused by "tight money" economic situation, it was necessary to
retain property in former domicile which I am now using as rental property.
i FIL.EO A4' ?fCGR0E0 ~
ST.~UC3E ~OUIiTY flA.
R4GEF ?OITR~S
E CIERK C~~CUIT COUAT
RE40RD VERIfIfO
~
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~ fEe 22 8 i6 AN't I
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' 2t~4F380
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~ I FURTHER CERTIFY that 1 will comply with all other requirements of a leyal rosident of fhit Stste.
~ ;
1 FURTHER CERTIFY that 1 have no intention to return to my former domiCi~e, and 1 intend to remain in FORT ~
i
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ _ "
OU 'LAS N. BRITT MSG
~
~ , {Name)
~ Preparatory Commission (US Element)
~ Reversion Coordination Group !
~ - ~ D~-Sau Fran qb3~l
_ (Address)
~
~ebruar~ , 19~.
- Swom to and subscribed before me this ~ day of
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~y ROGER POITRAS ~ , '
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~s CLERK CIRCUIT COURT Notary Public : ~ ;
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