HomeMy WebLinkAbout0411 Declaration ot Domicile and eitizenship ;
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Tp THE STATE ANU COUNTY TAX ASSESSOR, ~ 2a~j~fi3
51. IUCIE COUNTY, FLORIDA
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This i~ my declaration of Domicite and Citizenship in the State of Florida shat I am filing this day in accordance and
~n coniormity with Chapter 222, Section 2?2.17, Florida Statutes.
I was formerly a legal res~dent of CRALSBADL__~_____ NEW MEXICO _
(Ciy) (State)
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and I resided at _____90S_ A18mOS3 _ _ _ _ _ _ . However 1 have changed my domiCile `
(Street and Number)
to and am and have been a bona fide resident of the State oi Florida since __.~ift~etlth day of
_ _~Iune ~9
72 , and I reside ar 1215 Soltman Avenue ~ f
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(Street and Numbe~)
fORT PIERCE, SAINT LUCIE COUNTY, FLORIDA '
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Florida. ;
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(Insert here any pertinent 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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to put children in school ~
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Wanda Jean Kennedy 10
Tann er Lu t z ~ ST F~ R~~c~o
c~E~~~ ~an ~t
RFCORb yf r~f~ Cpsj/RT ~i
~uc 1~1 12 20 pH'
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i 2`~`~263
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I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic,ile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
' COLLEEN KENNEDY
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- (Name)
.v . _
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~ ~ ' - - ~ ~ ~ : ~ = ' 1215 Soltman Avenue, Fort Pierce, Fla
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~,.tid`and subscribed before me this j~` day of v`~ , 19ZL-.
ROGER POITRAS
~ CIERK CIRCUIT COURT Notary Public
~ By - " , " ~ ~~"Y'y` D.C. - My Commission expires
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~ (To be executed in duplicate and original filed with Clerk Circuit Court, and duplicste with Tax Assessor.)
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a~K205 P~~F 411
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