HomeMy WebLinkAbout1857 Declaration ot Dornicile ~~d Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR, ~258~~
Sl. lUC1E COUNTY, FLORtDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filina this day in accordance and
~n conformity with Chapter 222, Section 224.17, Flo~ida Statutes.
I was formerly a legal resideM of .__~~5~_/~L~~~_~_______- ` -
(City) State)
and I resided at _ ~ ~ ~ ~~6"' ~ - _ _ _ _ _ _ . . However 1 have changed my domicrle
(St~eet and Number) ~
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to and am and have been a bona fide resident of the State of Florida since day of
~L_ V 19~~, and I reside at ~ ~ I'F ~ ~ ~ v / ~ l'1'V l: -
(Street and Number)
FORT PIERCE, AINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizelnship, actual legal residence a~d 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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~ I FURTHER CHtTlFY thaf I will compty with all other requirements of a legal resident of this State.
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t I FURTHER CERTIFY that 1 have no intention to return to my former domi~ile, and I intend to remain in FORT
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x PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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-Sworn to and ifi~uibed before e this ~ da of ~~~u'r v~ 19~~~~!! y~~'
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- ROe6~ POARAS
" CIERK CI IT COWtT Notary Public
;t By L G1 ~.C. My Commission expires
- Ro bs ~x~cuted in duplicate and ori~inal ~ifsd with Cl~rk Circuit Court, and duplicats with Tax Ass~ssor.)
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