HomeMy WebLinkAbout2584 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR. 232515
51. LUCIE COUNTY, FIORIDA:
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This is my declaralion of Dom~cile and Citizenship i~ the State of Florida that I am filing this day in accordance and ~
~n conformity with Chapter ~22, Section 222.17, Florida Statutes.
I was formerly a legal resident of ?
A/V E S Y~L L CJ ~/~!^!f S~? ?ff `
~L~ty~ (State)
and I resided at ~~L _ . However I have changed my domic.ile
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since ~ Q _ day of ~
_~P~/~- , 19_7a, and I reside at _FT . ~L'L!/D//~ J[e _ - -
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, fIORIDA
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 perti~ent 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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~ 1 FURTHER CERTIFY that 1 will comply with all other requiremenis of a lega) resident of this State.
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~ I FURTHER CERTIFY ihat I have no intention to return to my former domi~ile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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• ~ ~ • , ~ Name)
~ Dunell V. Schull
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r.; v _ ~(Address)
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~ ~w~r~ tQ d[~d\subscribed before me this C day of .
, ~
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~ ROGER POITRAS
~ RK CIRCUI URT Notary Public
~ By ,a-~-~e D.C. My Commission expires -
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(To be executed in duplicate and originsl filed with Clerk Circuit Court, snd duplicats with Tax Assessor.)
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