HomeMy WebLinkAbout2008 Declaration ot Oomicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR, 2;~598~
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Sl. LUCIE COUNTY, FIORIDA: .
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordance a~d
~n confo~mity with Chapter 222, Section 2?2.17, Florida Statutes. ~
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I was formerly a legal resident of ._lS.1Y~:_~~___~3
~~P• ~~1~~ J__~~~ '
(City) (State)
and I resided at 7.~_ ./~P.~_~PS~ 3 vP, _ Howeve~ I have changed my domitile
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since day of
_~e -C • _ _ . 19?l , and I reside at ~ 4 6_ G~t¢~ ~ /4~/C /~l~tA. / ~K%_
(Street a~d Number)~~~- .S`~:~~tjs-
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7~' ~C ~p,
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Flo~ida.
(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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~STiO~~/.iG../ ~P SiQPNC~2/ ~r~~9~L/ .
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Luc
E couMTY ~u°.
ROCER POITRAS
CLERK CINCUIT COURT
RECORO YEAIrtEG
tl~ut 1t I 34 PM'~Z
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a I FURTHER CERTIFY that I will comply with ail other requirements of a lega) resident of this State.
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~ I FURTHER CERTIFY ihat 1 have no intention to return to my former domicjle, and 1 intend to remain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. -
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~ ~ 1 ',,-~F.• • . . . , ~ir~JO~ (Name) ~u1ilp~' Ov ~~VS
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t` Sworn to and subscribed before me this °S ~ day of ~C!%'%lc u-~c~ , 19 ~.Z
ROdER POtTRl~15
`r'- CIERK CIRCUIT COURT Notary Public
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~ By D.C. My Commission expires
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r$ (To b~ ~x~cut~d ie duplieat~ and ori~inal fil~d with CIKk qrcuit Court, and duplicate with Tax Ass~ssor.)
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