HomeMy WebLinkAbout1994 Decla~ation ot Domicite and Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR, ~2596~
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformity wi~h Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of -r _ _ • _
(City) ate)
and I resided at However 1 have changed my domic.ile
(Street and Number)
ro and am a~d have been a bona fide resident of the State of Florida since _ _ day of
--~-~1~t~!'L 191L_, and I reside at S~v?h ~%1. ~ ~
(Street and Number) ;
FORT MERCE, SAINT LUCIE COUNTY, RORI~A
and this statement is to be taken as m declaration of citizenshi actual ! ~
y p, egal residence and domicile in ihe 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.)
:f l~0 Ak0 RE00It~ ~
KOCE
POI~TRAri t
CLERK CIfiCUIT COIM
RECORD vEa~F~ED..¦.~¦i¦.
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22596'7 ~
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~ 1 FURTHER CEQTIfY that 1 will oomply with all other requirements of a(eyal resident of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domicjle, and 1 intend to remain in FORT
R
~ PIERCE, SAINT LUClE COUNTY, FIORIDA, permanently_
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,•Swdirn ~~i~d suburibed before me this day of ~~C~~i~/ ~ ~q_~~~~~
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ROGER p~TRAS ~
~K C~~ C0~ Notary Public
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aY D.C. My Commission expires :
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~ lTo b~ .x•wpd ie duplica~. and «i~iaat fil.d wAb Cf~rlc CKa~ir Cwrt, and duplicat~ w;th Tax Au.ssor.) !
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