HomeMy WebLinkAbout0847 Deciaration ot Domicile and Citizenship
TO THE STATE AN[~ COUNTY TAX ASSCSSOR, 2355'75
Sl, lUC1E COUNTY, FLORIDA:
This is my declaralion of Uomicite and Citizenship ir~ the State of Florida that 1 am filing this day in accordance a~d
~n conformity with Chapter 222, Scction 222.17, Florida Statules.
Karachi Pnkiatan
I was fo~merly a legal resident of ~-T--
(Ciry) - (State)
22 Akber ~oad Karachi
and I resided at _ _ _ . _ _ _ . However 1 have changed my domiCile
(Street and Number)
Aug. 24, 1970
to and am and have been a bona fide resident of the State of Florida since day of
19_.__, and I reside at __.g~u 4 BOX 680
(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 the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, remova) of family to new domicile, purchase of home, etc.)
I as attending Indien Ri~er Junior College
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st u~ ~nr Fta.
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~ 2355'75
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~ I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State. ~
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. I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCtE COUNTY, FLORIDA, permanently.
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~ ~C~.-G~~ ~CCi.ct~
.
~ (Name) Saeed Bokhari
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. ~ _ . 17 Auguat ?2 ;
Sworn to and subscribed before me this _ day of , 19 .
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ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
ay ~ CL D.C. My Commission expires
(To be executed in duplicate and original filed with Cler{c Gircuit Court, and duplicate with Tax Assessor.)
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