HomeMy WebLinkAbout1391 Declaration ot Domiciie and Citjzenship
TO 7HE STATE AND COUNTY TAX ASSESSOR, . /~9SO I
~l. lUi.iE COUNTY, FiORiDA:
Th~s ~s my declaratio~ of Dom~ule and Citizenship in the State of Florida that 1 am filing this day in eccordance and
~n conform~ty with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legat resident of _-~w$u~e ykj ~~nna~n
(City) (State)
and I resided at _____Rt_ 1_BOX 6~_ Nowever 1 havechangeo my domicile
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since llth day of
~OTP.mbe~-- 19~~ , and I reside at _ 4801 Sn Tnd Ri ~pr j~,rlYe
(Street and Number)
FORT PIERCE, SAINT lUC1E COUNTY, FLORI~A
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Fforida.
(Inse~t here any pertinent facts, such as sale of property or business, or relinquishment of employment
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a, ~~::~:~r cu~~~~~~~a, iCiiiVV6! af family to ~ew domicile, purthase of ome, etc.)
Eatablishing reaidence
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Will be moving into hou~e at 33rd znd Citrus Ave.
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_ FILEO AN^ RECOROEO
ST. LUCIE COUNTY ~LA.
~ ROCER POITRAS
~ CIERK CIRCUIT COURt
RECORO VERIFIEO~~
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~ 1 FURTHER CERTIFY that I wilt comply with all other requirements of a legal resident of this State.
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~ I FURTHER CERTIFY that 1 have no intention to retum to my former domiule, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIOA, permanently_
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' ~ ` - • ' R~ ond J. 7Yachamuth
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. Sworn to and subscribed before me this 4'~h day of NOVembe , 19 71
= ROGER POITRAS
_ y[~RK CIRCUIT COURT Notary Public
~ B ` `'4 ~ _ U.C. My Commission expires
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~ (To be exeeuted in duplieate and original filed with Clerk Cireuif Couef, and duplieate with Tax Assesso~.) ~
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~1390 ~
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