HomeMy WebLinkAbout2486 Declaration ot Domicile a~d Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR, ~
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Sl. IUCIE COUNTY, FIORIDA: j
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This is my declaration of Domicile and Citizenship in the State of Ftorida that I am filing this day ~n accordance and ~
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~n conformity with Chapter 222, Section 222.17, Florida Statutes. ~
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~t.~l___ G.~~ - - --/v ~ ;
1 was formerly a legal resident of
~C;ty~ tate) ~
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and I resided at _ _ `U _ V ~ ~ ` ~_~F ~ ~ . Hewever I have changed my domi~ile
(St~eet and Number)
ro and am and have been a bona fide resident of the State of Florida since ~P~~~!~ Q~' _ day of
~ ' - 7~ , ~ and I reside at ~ ~ G y [v oR T ~lt~_y ~
(Street an Number) ,
FORT PIERCE, SAtNT LUCIE COUNTY, RORIDA ~
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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 properry or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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/ 224224
F lEp A110 RECpRpEO
=~.lUC1E COUNTY f~A.
ROCER POITRAs
CLERK CIRCUIT CONRT
RECORO YERIFtEO.....~~
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~ I FURTHER CERTIFY that I will comply with all other requirements of s le9al resident of fhis State. ~
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i FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT ~
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~ PtERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ±
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, , ~ (Name) i
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Steve Leonard f
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Swom to and subscribed before me this 2nd _ day of e bTU~ T~. _ , ~ q 2 ~
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ROGER POITRAS ~
~r K CIRCWT COURT Notary Public ~
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By ~.C. My Commission expires ~
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(To b~ ~x~euNd in dupliuts snd ori~inal ~ilad with Cl~rlc Greuit Couet, and dupliut~ with Tax Asstssor.) '
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