HomeMy WebLinkAbout1322 Declaration of Domicile and Citizenship
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TO THE STA ' AND COUNTY TAX ASSESSOR, 2~r~~~
~ ~ _ COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that ! am filing this day in
accordance, and in conformity with Section 222.17, Florida Statutes. ~
1 was formerly a legal resident of C h i e a g o ~ I 111 n o i s and 1 ;
(cicr) (state) ,
rt;sided at R o s s e 11 S t r e e t . However, 1 have changed my domicile to
(Street and Number)
and am and have been a bona fide resident ot' the State of Florida since day of
May , ~g 56 and 1 reside at Rt. L, Box 602 Hartman Road !
(Street and NumEet)
F t. P i e r c e, S t. L u c i e ~ -eaunty, Ftorida; :
(CitY) ~ _ _ -
and this statement is ta be taken as my declaration vf z:~=~p^~ti~~_ actual legal residence and domicile in the State ~
of Florida. ~
(Insert here any pertinent txts. such as sale of propetty or business, or relinquishment of employment at former !
domicile, removai oi family to new domicHe, purchase of home, etc_) 1
This not only establishes me as a resident of St. Lucie
County, but also my dauqhter, GAIL ANN GOTTARDO,
who is now attending the University of Florida.
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~vciE cou~~r~g~
ROCER POITRAS C~
RECORO YERRF
Ep C~AT
~ ~nt II 3 sa PN'1t
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~ 22'7&10 ;
;
I FURTHER CERTIFY that [ wilt register at my 1oca1 address when ihe registration books reopen, and
comply with all other requirements of a legal resideni of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in
Ft. Pierce St. Lucie
, County,
Florida, permanently.
?
Blanche Gottai'aa Rosenau
. _ , (Addras)
Sworn to and subscribed before me this ~ day of `:r'
: ~ ~ ~~.Z~ ~ ~ .
~ . ~ ~I~~~I~~~~'~I ]l~ 4
A.D. 19 ` . /f•~~`r'~3.
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Notuy Public State of da al Lar6e _ • '
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_ i s • .
My Commission expires /6 - j~ . ~
(To be exetuted in duplicate and original filed with C1etk CQCUit Court(~nd;~iplirate with Tu Asussor)
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