HomeMy WebLinkAbout2750 y~
Declarat~n .ot Dort~iCila and Gltizenship
~ ~20386
TO THE STATE AN~ CC3UNTY TAX ASSESSOR, ~
51. LUCIE COUNTY. fIORIDA:
This is my declaration of Oomicile and Citizenship in the Stete of Florida that 1 am filing this day in aooorda~ce ~nd
in confwmity with Chapter 22?, Section 422,17, Florida Ststutei.
1 was formerly s ~e~ei resident of Old Bri~e Hew Jer~e~
(City) (Stah)
and t resided st ldadiso~~erd~ns Rt. 9 B1dA. 2 Apt. 1 T ~WeV~ ~ have chanfled my domidle ,
(Streef a~d Number)
ro and am and have been a bons fide ~esident of the State of Florida sinoe 2~h day of ~
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- .Jt~~p - , 19~_1 end I reside at ~6 North 19 th St . ~
(Street and Number) j
FORT PtERCE, SAINT lUCIE COUNTY, FLORIDA
end this stateme~t is to be taken as my declaration of citizenship, sctual legal residence and domicile in the State of florida.
(Insert here any pertinent facts, such as sale of property or business, or ~elinqui~ment of employment ~
st forme domicile, removal of family to new domicile, purchase of home, stc.) e
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HOd~~t9sd EZ6mptiOri f lE0 AND RECpA~E ~
i~. lUC1E COUNTr r~
IIOCER ~OITIIAi ~
CIERK CiRCUIT COURTy~ ~
llEC0A0 YERIFIEO..~.....I.L
O~c 13 tl ~o pM'11 ~ ;
. , 2~386
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~ I FURTHER C~RTIFY that I will aomply with all other ~~quiremsnts of a le~al raident of this Stete.
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~ I FURTHER CERTIFY that I have no intention ro return to my former domicjle, and I i~tend to remain in FORT ~
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~ PIERCE, SAINT WCIE COUNTY, FIORIDA, permanently.
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(Name)
~ Robert All,ea Carew ~
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= 316 Nortk 19th St. i
(Address)
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_ SwDro .to.~anc~'#~~6rib~ before me this day of ~~G~-~- ~ q~
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~ , ClRCU1T;~~~ Notary Public ~
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BY . O.C. My Commiuion expires '
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_ (7o b~ uacvNd in dvptiub and oriyinsl f+bd witb Cl~ulc C'irwit Court, and dupliuN with Tax Ass~ssor.j '
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