HomeMy WebLinkAbout0893 Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, ~,3~4
S t. L u a i e _ COUNTY, FLORIDA:
- This is my declaration of Domicile and Citizenship in the State of Florida that l am filing this day in
accordance, and in conformity with Section 222.17, Florida Statutes.
1 was formerly a legal resident of G e r m a n t o w n O h i o and 1
R o u t e 1 ' cs~.e~>
resided at . However, I have changed my domicile to
(Street snd Numbcr)
and am and have been a bona fide resident of the State of Florida since day of
November ,~q60 ; and l reside at R~~e 4 Box 655-A
(Stteet and Numbet)
F o r t P i e r c e . . S t. L u c i e County, Florida,
(citr) ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida. ~
(Inserl here any perlinent fscts, such as sale of property or business, or relinquishmrnt ot employment at tormer ~
domic0e, removal of family to new domicile, purchase of home, etc.)
This not only establishes my residency, but also that
of my son, MARK RICHARD APPLE~, who is presently
attending the University of Fla. , Gainesville, Fla.
~CIE CD~I~I~,
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REC
~RD VfRIFJ~~gT~~'~
~ ~ Il 12 ~ ~!I'T2
; 2'2'~'~p4
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and
comply with all other requirements of a legat resident of this State.
1 FURTHER CERTIFY that [ have no intention to return to my former domicile, and I intend to remain in
Ft. Pierce St. Lucie County,
,
Florida, permanently. (c~tr> -
~ J
~ (Na e
~ Ralph J a Apple, Jr
(Address)
Sworn to and subscribed before me this 12 day of •;::««ti~Nrr,~`"';',= n
A p ri 1 ~ Z a~;~~,;
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- Notuy PuWic State ot rida at Large - ti~,p `
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My Commission expires ~ - l~ ~ ~ ~ ~ ~ ¢ -
; ~ :i. ' ~ -
. -
(To be executed in duplicate and original C~ed with Cletk Citcuit Coni~,aqd duplicate with Tax Assessor)
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