HomeMy WebLinkAbout2648 DeClaration ot Dorr~icile a~d Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, ~ O~ O O 6 s
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Sl. LUCIE COUNTY, FLORIUA: ~
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This ~s my declaration of Domicile and Citizenship in the State of Flo?ida that I am filing this day in accordance and ~
~n conformity with Chapter ?22, Section 222.17, Florida Statutes.
I was forms~ly a legal resident of _ v _rf. _ _ _ _ /7 / e _ _
(City) (State)
and I resided at 7_ _ ~?_o-+_T ___~e •C~ . However 1 have changed my domic,ile ~
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(St~eet and Number) ?
7'k-c~ ry S~,.c.~ Ty ~
ro and am and have been a bona fide resident of the State of Florida since day of ~
D~ OIc•~•, c? G
~~~it~ G..-s Ei c.,- , 19~ v, and 1 reside at y- ~
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FtORIDA
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purthase of home, etc.)
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I FURTHER CERTIFY that I will comply with all other requirements of a(egal resident of this Sta;e.
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~ I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain i~ FORT }
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. _
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~ (tvarne Clarence J. Odell `
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' (Address)
~ Swom to and subscribed before me this 12th day of ~rCh ~ 19 71 _
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R ,I~OIT~AS
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~ IC~ Notary Public
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~ By ~ D.C. My Commission expires
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R6;~3 ia• ~ N and oripinal filed with CtKk Grcuit Courf, and duplicat~ with Tax Assessor.) :
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