HomeMy WebLinkAbout0565 Declaration~ of Domicile and Citizenship
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TU Ttli~. ST AT1: AI~I) ('Ul1NTY "I'A~ ASSt SSOR. ~~193p
St. Lucie~•~~UhTY, FLORII~A:
"Tlii: is my~ clrclarati~?n ut~ Uomicil~ ,u~~1 Citir.~nshin in thr Statc of Florida that 1 atn iiling this day in
acror~lai~c~. ,~n~i in ~c~nl'onnit~° with S~rtion ,,,.17. Fl~ricl.i Statutrs.
I was tormrrly a Ir~al rr,iarnt c~f Dunellen New Jersey
- - - _ :~nd 1
(l'il} ) (Statr)
r~si~lcci at 225 _ New, Market Road_ . Howrv~r. 1 have changed my domicile to
Itiur~t anJ Numhrr)
a~u1 ait~ a~~el I~~~vr h~•~n a bona liii~ ntiidcnt ~i~ th~ State uf Florida since 6th_-- day ot
November , l~~ 7~, ;,l~~I 1 r~.i~ir :~t 147 West ~len_Driye.__
(Strrrt and Numbr~) - - -
Ft. Pierce . - - - - - -------S~_.__~u~i~- - County. Florida,
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and this statrinrnt is to hr tak~n :!s my dr~•L•~ration af ~iliz~nshir, aciual legal residenre and domicile in the State
ut' Florida. ~
(lnsrr. hrrr any j~rrnncnl f:~ct~, ru~h rc vlr of pruprrly or bu~inrs~, or rrlinyuishment of rmploymrnt at formrr
domicile, remu~al uf fam~l~~ tu ne~c d~.micile. purchacr uf humr, etr.)
Entering children in school
241930
FILED ~NC Rf C~s~OEp
tT_ L11C1E COSldITI' ftA.
R(~~,EF Pi~i7~~S
CtER1~ (';:;;L'tT
RFI:~?RR yr: ~~~~a COU~
Rti...
Nor 1~ 3 26 pH '71
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1 FURTHER CERTlFY [hat I will r~~~i;t~r at my la~al address ~4~hcn thc r~gistration books reopen, and
i eom~~ly with all other req«inm~nts ~f a lr~~a! rrsident of this State.
j ( FURTHER CE:KTIf~Y that 1 ha~~r nc~ interiti~n to r~turn to tny fonnrrdomirile, and 1 intend to remain in
~
' Ft. _Pierce_
, - - _ _ _ . _ t, Lucie_ _ Count~•.
. ~k~~a~;~~r`ifY.y~entl~~_ ~c~«?
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: i ~Q ~li ~rt~ ` .
, ' ~ c.c ~ / ~ amr)
= r•~' ~ n L~ 4= Rosemary ~rowic ( Mrs Robert )
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P••''~e /:tddreas)----
S~ivcYtmttl'iind subsrrihcd hcf~rc m~ c~~;~ 13th ~la~~ of ~
~ November I~ ~ ~ 72
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Nutarp Public State of 1 tnnJa at t-arka• _
`fy Commission r~rires ~.x~-----:~T:-:f. i~: ~t FtOaIDA at iAR:~'~
. -t~e r: 3?#- 1~. 1976
BOitDED Ttti:lU ~i.::"tc;+L ItiJ:;:::'~~~.:E U~~UEk~~KITERS
ITo hr.~rcutrd ~n duplicatr anJ unK~nal filcd with Clerk ('ircuit Court. ~oJ Jupliralr ~s~th Tax Assrswr)
600K~~ rAGE 565
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