HomeMy WebLinkAbout1457 Decla~atian ot Domtcile a~d Cttizenship ~j 1,,3~~
TO THE STATE AN~ COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of ~omicile and Citizenship in the State of Florida that 1 am filing this day i~ accordante and
~n cor~formity with Chapte? 224. Section 2~2.17, Florida Statutes.
1 was formerly a legal reside~t of ._C6illieoth~ _ 1[0.
(City) (State)
and I ~esided at _172I Fair 3treet _ - _ _ - - _ _ . ~wever I have chan~ed my domicule
• (St~eet and Numberj •
to and am and have been a bona fide resident of the State of Florida since sIIIR! 1Q_.-_ day of
19.~~--, and I resiae at __~Q Club Dti~?e
(Street and Number) ^
FORT NERCE, SAINT LU~IE COUNTY, fLORIDA _
and this statement is to be taken as my declaration of citizenship, actual leyai residence and domicile in the Staro of Horida.
(Insert here any peninent fads, such as sale of propery or business, or relinquishment of employment
at former domicile, removal of family to new damicile, purchase of home, etc.)
S~t~bli~hins r~~idencp
iriu°i"D RECO~ ~
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Ep ~OURT ~G.
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- 1 FIiRTHER CERTIFY that 1 will aomply with all other requirements of a le~al resident of this State.
I FURTHER rERTIFY that .1 have no intention to feturn to my former domivle, and I intend to remain in FORT
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PIERCE, SAINT LUCIE COUNIIf, fLORIDA, permanently'
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::,:,;t,,: ~ (Name) Donald L. Cra~tord
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Swqrrt..
'~i~d wbxribed before me this ~ day of '~e , 19TI ;
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Ii~ibt~t romus - '
CLERK CfRCUR tOURT _ Notary Public ~ ~
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By ? D.C. My Commission expires i
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o b~ ~x~aM~d in duplicat~ snd ori~inal fil~d witir Cl~ic Grwit Court, and duplieat~ whh Tax A~or.) ~
" ~ a~K 1~3 1455 - `
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