HomeMy WebLinkAbout1495 ;~;~~bs~
Declaratio~ ot Domicile and Citizenshlp •
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aaordance and
in co~formity with Chepter 222, Section 222.17, Florida Statutes.
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I was formerly a legat resident of ~ ~ - -
~ty~ (State)
and 1 resided at L~+EN7YA~ However 1 have changed my domicjle
(St~eet and Number)
to and am and have been a bona fide resident of the State of Florida since VG~~T--__ _ day of
- - - , 19~~, and I reside at 1 ~~~r~-~~~~•rT ~i~. -
(Sireet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to bc 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 domicile, removal of family to new domicile, purchase of home, etc.)
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2;~;5639
fi~EO ~Ne aecoaoE
at. ~p~~ER °OITRAS` ~
CLERK Ci~CUtiT t~ :
- RECOR~ YfR1F1E0 j
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~ I FURTHER CERTIFY that I will comply with all other requirementt of a le~al resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
DONALD R. PORTER
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~ (Name)
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~ - ~ - - r>' ` 15th Y8tCh 19 ?2.
~ ~~~y` i Siwotit,~Or and subscribed before me this day of ,
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`ae< A'',~~~ ~~If1.~ -
~ ?CMC!!IT COURT Notary Public
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~ By ~ O.C. My Commiuion expires
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~ Ro b~ ~x~euhd in duplieah and oei~nal Rl~d wi11~ Cl~e~c Cim~it Cou~, and dupliuh with Tax Ass~ssor.) -
~ ~ 3 A ~ooK 200 ~.494
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