HomeMy WebLinkAbout1387 Deciaration of Domicile and Citiienship
TO THE STATE AND COUNTY TAX ASSESSOR, I~a3~S
St . I,uci e _ COUNTY, FLORIDA: • '
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This is my declaration of Domicile and Citizenship in the State of Florida that 1 am tiling this day in ~
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accordance, and in conformity with Section 222.17, Florida Statutes. ~
I was formerly a legal resisient of Velley Streas , New York and I i
(CitYl (Siate)
nsided at 1643_ ]iorga2i Street , However, I have changed my domicile to ~
(Street and Number)
and am and have been a bona fide resident of the State of Florida since lOth `
day of
_ July , 19~ and I reside at 24? N. E. Su~mer Rd Port St. I,ucie
(Street and Number)
, County, Florida,
(c~ty)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Inseri here any pertinent facts, such u sak of property or business~ or relinquishment of employment at former
domicDe, rcmoval of family to new domicile, purchase of home, etc.)
Establisking residencs
~33`795 -
i~~EO AND REC~RQ~
~IlCIE COUM RA.
OLER~K CIRCuiT ~Mt
RECORp YERIFIED~,,,.,,~.,~ ' i
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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 legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicite, and I intend to remain in '
- Ft. Pierce St. Zucie County, ;
k'[~i~A~~~,eritty. (c~tr~ ' 1
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0 ~ ~1~~ ~ ' = ~ ~ • _ ~
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~ ~ Patrick E. Mi~ario
F : J'a`~ `
~ ~ jt (Address) :
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Sworn,Lo.and'subscribed before me this _.24th day of
Jul A.D.19 72.
u:c.-~~
Notary Public Sta t F1oriJa at Large ~
My Commission exp'ues ~1~~~ ~ ~
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(To executed in duplicate and original fJed with Qerk Circuit Court, and duplicate with Tax Assessor)
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