HomeMy WebLinkAbout0647 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, ~ 7
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Sl. IUCIE COUN7Y, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformiry with Chapte~ 222, Section 222.17, Florida Statutes.
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I was formerly a legal resident of i~~~~-_.5~_____- -
(Ciy) tate)
and 1 resided at _~~~~?.3 _ _ However I have cha~ged my domiCife
' (Street and Number)
to and am and have been a bona fide resident of the State of florida since _ day of
- 19~~, and I reside at 1?~L7 _l~l~y!
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, ~ORIDA
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and this statement is to be taken as my declaration of citi=enship, actual legal residence and domicil~ in ihe State of Florida. !
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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~C~P.~-~~,~.-Z" 225033
F~~o .~a aECOR~E~ `
iT.111C1E COUNTY fL
ROCER PGITRAS
CIERK C~nLU1? COURT
RECORD vEP.?=~ED.+.._.~
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I FURTHER CERTIFY that I wilf oomply with all other requirements of a legsl resident of thia State.
~ I FURTHER CERTIFY that I have no intention to return to my former domic,ile, and 1 intend to remain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. BARBARA WRE~
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~ Sworn to and subscribed before me this day of ___1~"~~~ , 19
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= RO~'iER POITRAS
_ K CIRCUIT COURT Notary Public
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By Q`'~ D.C. My Commission expires
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~ (To b~ ~x~cut~d in dupliuts and oripinal filed wiTh Clarit Grcvit Court, and dupliuh with Tax Ass~s~or.)
600K
° R 200 ~ 64? ~
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