HomeMy WebLinkAbout1006 De~laration ot ~omic~ie and Citisenship 2~31,~5 ~
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TO THE STATE AND COUNTY TAX ASSESSOR, .
Sl. LUCIE COUNTY, FIORIDA:
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This is my declaration of Dom~cile and Citizensh~p in the State of Florida that 1 am filing this day ~n accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ~~@nd81_e____ _ _~1C~_i~Sri _ ~
(C;ty) (State) j
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and I resided at _ _ C9ribOr@ _?~08d However I have changed my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~ at_ _ day ot
Fshruary , 19_~2 , and I reside at 605__BeBC_h A~I@. _ _
(Street and Number)
FORT PiERCE, SAINT LUCIE COUNTY, FIORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Flo~ida.
(Insert here any pertinent facts, such as sale of properry or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) 22 `
31~s
Place children in echool.
fItEO AND 4
sT cuc~F ECORpEO
I,e~ter Brannan 6 yee~8 ROCER pp~jR~ ft~.
~ ~DURT
John ?~rannan 1 2 ye8T8 4f r~ ~RtifF~;F EOT s
F8 1
Art 3rannan 13 y,ears ~ 36 PM ~~I
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~ 1 FURTHER CERTIFY that I will comply with all other ~equirements of a legal resident of this State.
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I FURTHER CERTIFY that I have no intention to return to my former domiule, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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. Art Radloff e~
_ - ~ _605 Beach A~e. -
- ' ' (Address)
Sworn to and subscribed before me this ___?nd _ day of _~'E3RUARY ~ ~q 72 . ~
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' ROGER POITRAS _ - ~
u.< CLERK CIRCUIT COURT Notary Public
_ By D.C. My Commission expires
(To bs ex~cut~d in dupiicat~ and ori~inal fil~d with CIKIt Grcuit Court, snd duplicats with Tax Ass~ssor.)
_ ~19~9 ~1~05 ~
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