HomeMy WebLinkAbout1886 u~
_ O~cla~~tlon ot Domicil~ and Cittsenship
TO THE STATE AND ~OUNTY TAX ASSESSOR, 211641
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Sl. lUC1E COUNTY, FLORIDA:
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~ This is my decleration of Domicile and Citize~ship in the State of Florida that I am filin~ this day in acoordance and
in conformity with Chspter 222, Sectio~ 2~Z.17, Florida Statutes.
I was formerly a legal resident of $lmira l~e~? TOr~ _
~~;y~ . (Sta»)
and 1 resided at 210 Ch9pE1811 P18C0 However 1 have changed m~r domidle
(Street and Numbe~)
to and am and have baen a bona fide resident of the Stets af Fiorida since ~ et day of
--~L~@ . 19
Z, and 1 reside at 1'S5 a19ri Dri~e
(Street and Number)
FORT ~{ERCE, SAINT lil~IE COUNTY, RORIDA
and this stateme~t is to be taken as my declaration of citizenship, actual legal residenca and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domiale, purchase of home, etc.)
8eeidenc~ '
Childrea in 3chool
PAUI~ YICHAEL A8'YPl~AB 8 yeare of ags
1Y2F1~ ffi~IZABSTH HBI~I[Alt ? yeara of ag~ -
FI~EO ?kD aECOR0E0
1[ARK AI~AA HSNf~IAR 7 ye~re oY ~ge ST p~~RCPOlTR~S ~
RECORO YER~1u~T COU ~
I ~ ,
i I 12 43 PM'1 I
2iis4i
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I RIRTHER CERTIFY that 1 will oomply with all othe~ requireme~is of a le~al resident of this State. ~
I FURTHER CERTIFY that 1 have no intention to retum to my mer domic.ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_ CA~, _A ~
~u ~a- ~ 7'
PQIiELi P. BSIIIdA~
. `ti: ~ (Nsme)
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= ' = 135 11eet alen nriTS, lort Pierce
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H ' Florida 33450
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- :-1 i' ' (Address)
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'~~••t~~'~ ~ ~ ~9
S~w,ofrnhQ a~sob9e?ibed before me this ~~t day of ,
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RO~'iER tOiTRAS
CI UIT COURT Notary Public
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8y D.C. My Commisswn expires
(To b~ ~x~cvhd in deplicat~ •nd ari4inal fll~d with Cl~k Cirwit Co~rt. and d~pliuh with T~x AtwMOr.)
ea~K ~93 ~884 _
No. 13
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