HomeMy WebLinkAbout2845 Declaration ot Domicile and Citize~shlp ~
TO THE STATE AND COUNTY TAX ASSESSOR, 2 Q 6 1 6 O
Sl. WCIE COUNTY, FLORIDA
This ~s my declaration of Domicile and Cit~zensh~p in the State of Florida that 1 am filing this day in accordance and ~
~n conformity with Chapter ?~4, Section 222.17, Florida Statutes. `
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1 was formerly a legal resident of Y@=phi$ Te~• ~
(City) (State) ~
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and I resided at _ 2465 ~oodville Driv~ ^ However 1 have changed my domicjle ~
(St~eet and Number)
to and am and have been a bona fide resident of the State of Florida since 14th day of
ldarch ,~9__?1 , and I reside a~ 816 3ola~ Ave. ~
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citize~ship, 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, purchase of home, etc.)
Entering Sherry in the 3rd grad~
206160
FIIED ~MD RECOROEO
ST.lUC1E COUNTr flA.
ROCER POITiIAS
CLERK CIFICUIT COURT
RECORD VERIFIEO~~
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` t FURTHER CERTIfY that I will comply with all ofher requirements of a legal resident of this State.
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~ I FURTHER CERTIFY that 1 have no intention to return to my former domicjle, and t intend t~ remain in FORT
~ PIERCE, SAI(~fi IE COUNTY, FLORIDA, permanently_
's: Jo
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" ~ ~ t~' ~ ~ L"a-
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~ = , ; • (Name)
. ~ Donna Fig1~Y
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~ Swdm to end subscr~bed before me this __16~ _ day of ~STCh 71
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ROGER POITRAS _ _
- K CIttCUIT COURT Notary Public ,
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By _ ~ O.C. My Commission expires
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(To b~ ex~cut~d in duplicat~ and oripinal fil~d with Clsric Circuit Court. and dunlic.~. With Tax Ass~sso~.)
~ R 190 284i
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