HomeMy WebLinkAbout2541 ~
Declaratian ot Do~nicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR, • ~^'~~s
Sl. LUCIE ~OUNTY, FlORIOA:
;
This is my decla~ation of Domicile and Citizenship in the State of Florida that I am filing this day in atcordance and • `
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Somer~?ille N. J.
1 was formerly a legal resident of - - }
(Ciy) (State) ~
and I ~esided at 1, A 08k TBrre E e _~~„~ever 1 have changed my domiCile
(Street and Numbe~)
D~arch 19
to and am and have been a bona fide reside~t of the State of Florida since day of
19
7?, and 1 reside at 2308 SO. 29th Street I
- . (Sireet and Number) ~
Apartnent (o
FORT PIERCE, SAINT LUGIE COUNTY, FtORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. ~
;
(Insert here any peninent 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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~ichelle bi. Bonaauce ~•~~~E C~uM~i~~f~l. -
ROCER POtTRAS ~
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RECORD VfRIfIfO~..~,.~~ ~
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~ 22635~
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I FURTHER CERTIFY that I will comply with all other requirementa of a leyal resident of this Stste.
~ FURTHER CERTIFY that I have no intention to return to my former domic,ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE CONNTY, FLORIDA, permanently.
V 1` - i1/l/~~~ L4~~i~ ~I~
~ _ _
, ~`•;~:~~f; . . Alexandri~~oi~aduce
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. ,~'~'41 •
G~,~ r (Address)
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• ~ : ~arch t9 7
t~,yui before me this day of .
. s~?~~~• ~ . .
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e4.,.,, . : , .
ROGER POITR/1S
CLERK CIRCUIT COURT Notary Public
gy D.C. My Commission expires
(To b~ ~x~cut~d in dupliut~ and ori~inal Rlad with Cl~rlc CiKUit Cour~, ~nd duplica» with Tax Ass~ssor.)
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