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Declaration of Qomicile ar~d Cititenship
~I'O Tt~t: STATE ANU ('OUNTY TAX ASSk:SSOR,
St_. Zucie COUNTY, FLORIDA: y
This is my drrlaration of Domicilc and CitiZenship in the State of Florida that I am filing this day in
:~ccord~nce, and in conformity with Section 222.17, Florida Statutcs.
1 was formetly a Icgal resident of 1~'~ • Pier~;e Fle. and [
(c~~r) (s~.ee)
resided at . However, I have changed my domicile to
(Street and Number)
and am anc3 have been a bona fide resident of the State of Florida since day of
, 19~, and 1 r;.side at _ Rt 1 B07c 804
Ffi,. Pieree St ~ IiLiCl @~ ~nd t~lumber)
. , County, Florida,
(~~r)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Irturt here any pe~tinent fscts, such u sale ot proyetty or business, ot relinquishmeat ot employment at former
domic~e, removal of family to new domicile, purchax ot home, etc.)
This ia to certify that Donald Reed Pierce age 18 year~
has been a legal resident of St. Zucie County, since hi~ birth
it~o ~NO Reco~~~ ~ ;
~T. ~uciE covNTY
~ ROCEB P01TRA5
REC~Ra 1?E~~F EO COUAt
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1 FURTHER CERTIFY that 1 wili register at my local address when the registration books reopen, and
comply with all other requirements of a legal resident of this State.
I FURTHER CLP.TIFY that I have no intention to return to my former domicile, and I intend to remain in
Pieree St. Lucie , County,
f F~O~f~j~,1~Tl~j~: (City)
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~~'s' ~ " ldar Pierce ( l~r~ Joel ) ~
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't~'~tp~~~Dscribed before me this 24t]d day of
~.~n,~rr,.r~t!l~~~~,~ '
- A.D. 19~_.
~ Notuy Pubiic Sta~e ot Fiorida at t,ar6e
My Commission exp'ues ~ ~
(To be e=ecuted in dupiicate and oriRinai Cded wilh Cietk Circuit Coutt, and duplicate with Tax Assesso~)
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