HomeMy WebLinkAbout0145 Declaration ot Domiciie and Citizenship
TO THf STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA: ~~5~,~~
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Th~s is ~ny Jecta~ation of Domic~le and Citizensh~p in the State of Florida that 1 am filing this day in accordance and
~n conformity w~th Chapter 222, Section 222.17, Florida Statutes.
I was formerly a lega~ resident 8f'xinQtOn KeY1tlxClCy
K~ty} (State)
~nd 1 resided at Rt 2_ _ _ Nowever I have changed my domiCile
(Street and Numbe?)
to and am and have been a bona fide resident of the State of Florida since 9~h _ day of
~~Q , 19_ ~1, and I reside at 3104 Okeechobee RDad _ _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of utizenship, actuat legal residence and domicile in the ttate of Florida:
(Insert here any pertinent facts, such as sale of ptoperty or business, or relinquishment of employment
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
" ~!tering children in achool
FtIE~ ~?NO RECOROEO
St. LUCIE C01iNTY FlA-
ROGER P~~TaAS
. CORO vERlf
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~ I FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
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_ 1 FURTHER CERTIFY that I have no intention to return to my former domi~iie, and I intend to remain in FORT
ti
-r PIERCE, SAINT LUUE COUNTY, FLORIDA, permanently.
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- - -f i - -
(Name)
Robert Diurgh~
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= N;SwOrn t0 and iVbscrlbed before me th~s lth da ot _ November ~9_ 71
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R~dE1t R!dlTRlt~
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C K' RC IT tOURT Notary Public `
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By _ C`"~" _ D.C. My Commission expires '
_ (To bs execut~d in duplicate and original filed with Cl~?k G~cuit Court, and duplipt~ with Tax Assessor.) ^
- „ ~o~ 19 ~ 145