HomeMy WebLinkAbout1788 D~~la~atlo~ ot Domicile a~d Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in tha State of Florida that I am filing this day in acco~dance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal resident of ___l_R1T__sL~~l~._____________ _~t~r r-To ~.G p
(City) (State) ~
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and I resided at /L=ct__~__ ~a/~ct~ ~c~ . However I have changed my domiGi~e
(Street and Number) 3
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ro and am and have been a bona fide resident of the State of Florida since f 5__. day of
.
~~~P 1911 , and I reside at Sv Ii~. ,/.'e ~i ~v ~ . =-d~`- -
(Street and Number) ~
WltT PI~tCE, SAINT LUCI@ COUNTY, FLORIDA ~ ~
and this statement is to be taken as my declaration of citi2enship, adual tegal 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.)
fIlEO ANO RECpR ~p ;
St. LUCIE COUMTY ~lA. :
ROCER POITRA8 i
CIERK CI,~CUIT COURT ~
RECdRO VERIFIED,..~,~
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- I FURTHER GERTIFY that I will oomply with all other requirementa of a legal resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domic,ile, and 1 intend to remain in FORT
~ po~v ~ - ~P; ~~ti ~y
K PIERCE, SAINY Id1GE COUNTY, FLORIDA, permanently.
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Sworn to and subscribed before me this °Z ~ day of ~ , 19~L
:y RW~ rV.'~I~7
CIERK CIRCUIT COUItT Notary Public
gy e D.C. My Commission expires
Ro b~ ~x~evt~e! in dupliuh snd original fil~d witf~ ClKk Grwit Court, and dupliesh with Tan Ass~ssor.)
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