HomeMy WebLinkAbout1705 Declaration ot Do~nicite and Citizenship
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TO TNE STATE AND COUNTY TAX ASSESSOR, ' '
Sl. LUCIE COUNTY, FLORIDA:
This ~s my declaration of ~omicile and Citizenship i~ the State of Florida that I am filing this day in accordance and
,n conformity with Chapter 222, Section 222.17, Florida Statutes.
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I was formerly a legal resident ot ~Ha~ng@_QU~ ~
tCiy) (State)
and I resided at 211 IQOY'th WisCOrisfri A~Ie. However I have changed my domic,ile
(Street and Number) ;
to and am and have been a bona fide resident of the State of Florida since 1'sth _ _ day of
No~ember ~9__.71, and I reside ae _8t 2_ BQx__~T78 Emeraon Av_e.___
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment {
at former demicile, remova! of family to new domicile, purchase of home, etc.) -
1
Eetablishing reeidence
221631
fILED AK^ RECOROEO
ST.IUCIE COUMTY FIA.
ROCE' °OITa~S
CIERR C lCU1T COURT
i RECaR^ vE= ~1E0~---
~ 6 !`l i2 PH'7
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~ I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of ihis State. ~
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~ I FURTHER CERTIFY that I have no intention to return to my former domiGile, and I intend to remain in FORT
~ PiERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
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_ (Name)
- Peter J. 'Nattereon ~
- - - -
~ - (Ak~E~Xd~Es)
Sworn}to and subscribed before me this day of , 19 72
S
= ROGER POITRAS _ -
_ ~LERK CIRCUIT COURT Notary Public
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By ~ D.C. My Commission expires
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= (To be sxecuted in dupticste and originsl ~iled with Cl~rk Circuit Courf, and duplicats with Tax Ass~ssor.)
gooK198 Pa~F1703
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