HomeMy WebLinkAbout2354 _ Oecla~ation ot Domicil• and Cittt~~ship ~ g39 }
TO THE STATE ANO COUNTY TAX ASSESSOR.
51. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Flo~ide that 1 em fili~g this day in acao~dance and
~n cw~formity with Chapter ~22, Section 222.17, Florida Statutes.
1 was formerly a legal resident of -y`~--'". 's L° ~--~~.t--- D`` ~
_L/?' (Ciy) taro)
and 1 resided at 1_~ _ / 4 ~ ~ /~U~G /l C~(~~ ~ _
However 1 have cfianged my domi~ile
. {Straet and Number)
to and am and have been a bo~a fide ~esident of the State of Florida si~ce ~L ~ day of
19_-, and I reside at ~ O ~ f
_ _ (Sheet and Number) /,J ~ C,C.
FORT PIERCE, SAlNT LUGIE COUNTY, RORIOA '
and this statement is to be taken as my detlaration of citizenship, actual legal residence and domicile in the State of Florids.
(Insert here any pertinent facts, such as sale of property or business, or ~elinquishment of employment
at former domicile, ~emoval of family to new •domicile, purchsse of home, etc.)
i
To Setablieh Reaidence
2i1~39
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REC !E ~cC RWIIT C ~
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I FURTHER CERTIFY that I will oomply with all other requirements o'f a le~al residant of this State.
I FURTHER CERTIfY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAIKT'~1~•~~J~TY, FIORIDA, permanently. " E
• ^ Barb sra Yforgan ~
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" - . ~~L (Name)
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Sworn to and subxribed before me this 8tb day of ~iL , 19 71
f
ROGE~ rO1TR/?S ~
CLERK CIRCUIT COURT Notary Public ~
gy ' ~~~~-~-r O.C. My ~ommissian expires - ;
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tTo b~ ~x~cvhd in duplical~ and orl~inal Ri-id'whb Cl~~lc p~if Court, and duplicN~ whh Tax A~wi~o?.) '
,3 go~ 193 2352