HomeMy WebLinkAbout2713 Deciaration of Domiciie a~d ~itiz~nsi~i~
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORIDA:
This is my decla?ation of Dom~cile and Citizenship in the State of florida that 1 am filing this day in accordance and
~n conformity with Chapter 222, Sect~on 22Z.17, Florida Statutes.
1 was forme~ly a legal ?es~de~r of _Few~ort _Center _V°2'f031t
(City) (State)
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and I resided at _ _ P_, Q. B_QX_ ? 2'~ _ However 1 have changed my domiGle
(Street and Number)
!o and am and have been a bona fide resident of the State of Florida since 2T_th - day of #
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_ Auguet i9_?~ , and I reside at 84~ __Tierra Court Port St. _ Zueie_ . f
(Street and Number)
PORT PlERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domici~e in the State of Florida.
(Insert here any pertinent facts, such as sale of praperty or business, or relinquishment of employment
at former domiciie, removal of family to new domicile, purchase of home, etc.)
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i'ILfD ~M^ RECORDE~
Sl.i.i3t~~ :::JMri ~LA.
Estab? ishin~ residence aocFn 'rG~;a~s
CL~fiK ~:"~U!7 COUAT
RrCQR!` V~f"~!r~~.~
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~ 1 FURTHER CERTiFY that I will comply with all other requirements of a legal resident of ihis State.
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1 FURTHER CERTIFY that I have no intention to return to m former domi~ile, and I intend to remain in FORT
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L: PfERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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• ~ _ ~•'~'?~h.
~ ' , ' (Name)
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d; George Z. Hannah
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= ~ Caroline Hannak {
Sworn to and subscribed before me this l9th day of 'ja~~~__ , 19 72 ~
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- ROGER POITRAS
K CIRCUIT COURT Notary Public
_ By ~ D.C. My Commission expires ~
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Ro bs executad in dupliuM and ori~inal filed witb Cl~rk Circuit Court, and dupliute with Tan Assassor.) ~
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