HomeMy WebLinkAbout2737 Declaratian of Domicile and Cititenship
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TO THE STATE AND COUNTY TAX ASSESSOR, '
ST.._ I,IICIE _ COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that i am filing this day in
accordance, and in conformity with Section 222.17, Ftorida Statutes. ~
1 was formerly a legal resident of J~~'~'ERSON , 1[AI1~S and 1
(citY) (State)
r~sided at ~~ar Hill Rond . However, I have changed my domicile to
(Street and Numbe~)
and am and have been a bona fide resident of the State of Florida since 10th day of
Oetober , 19_ 69 y and 1 reside at _ 601 $sawn~ Dri~o ZOt A-4'S
. (Street aad Numbet)
1~'ort Piere• , St. Lueie 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.
(tasert here any pertinent facts, such ss sak ot property or businas, or reiinquahment of empfvy~ueni at fOiBi¢t
domic~7e. removai of familr to new domicile, purchase ot Aome, etc.)
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TO ESTABLISH I,EGAL RESIDEACE I!~ ST. LIICIE, l~t. Pier~e, ~'loridn
228546
ttED ANO RECORpEO
T• lUC1E COUNTY ftA. _
ROCER POITRAS •
CLERK CIRCUIT COURT
RECORO VERIFIEO.....~.,,.~ •
Miar 1 I s~ PH '~Z
.
~
;
E I FURTHER CERTIFY that I wiU register at my local address when the registration books reopen, and
comply wiih atl other requirements of a legal resident of this State.
;
' I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intend to remain in
I
!'ort Pieree St. Lucie County,
Florida, permanentl~.; cc~tr~ '
~~,ti~~~uairNp~~ '
' ~ U'? n~'%i, ARTHIIR C . $IRBY
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V jJy' •v,~ • ~i (Name)
:
•~':'ti 601 Seawej Dri~e, Lot A-43
_
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" ; • ~ ~ • ~'ort Piereo, l~lorida 33450
Sw~
to-aitd~s~i'tti~tl before me this 2~ day of
-
~~t?'•••.....-~
.
' ~~i; ~ A. D. 19 72
; ~~i ~ i ~
ROGER ~(~ITRAS, Olerk Cireuit C ~
.
Z~ B ~ Deput~ ClerY .
(To be eaecuted in duplicate and originai fiied with Clerk Circuit Court, and duplicate with Tax As~euw)
; O~IK~ ~ACE~~~
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