HomeMy WebLinkAbout1198 Declaration of Domicile and Citiz~nship -
"('O TFIE STATI~ AhD ('OUNTI' T~~C ASSt:SSOR, 2423'71
St._ Lucie_ C'UUNTY. FLORIDA:
Tliis i, my circlarati~~n ol~ t~omicilr and Citizenship in th~ Statc ol' Florida that I am tiling this day in ~
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arcordanc~. :II1lI IR COIIIOfI111Iy with Section „'_.17, Florida Statutes. ~
~ . - Jeffersonville_ f
I was forn~c.rly a ir~al rc1icicnt of .~iew _~Q~__---_ and ! 1
(('ity ) (Statr) ~
r~sieied at Jeffersonville_, _N Y__ However, ( have changed my domicile to ;
(Strert ~nJ Numbrr)
~nd am and ha~~e b~cn a bona lidc residLnt ol~ the State of Florida since _ bth day of
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November _ , ~q 72 . ~ r~,;~~ ;,t _ 870 Airosa_Blvd, '
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(Strret and Numf~t)
Port St. Lucie St. Lucie Count~r,Florida,
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tc~~. ~
and this statemrnt is to he takc~~ as my dcclar:~tion of citizenship, actual legal residence and domicile in the State
of Florida.
(InsrN hrrr any prrtinrnt facts, such as salr of property ur businrss, or relinyuishmrnt of rmployment at former
domicilr, rrmo~al of family to new dumicile, purchasr ot hume, rtc.)
establishing residence
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2423'71
FILED AM~ RECORDED
St. ~~,ICIE ~4UNTY FLA.
fiOGc ~ ~iTRAS
CtE°K C.::;,J1T COf/RT
PF~QF?' VE~~: ~rp._.~.~~
- Nor 1i iG i3 d~1 '7Z
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1 FURTHER CERTIFY that 1 will register at my (ocal address when the registration books reopen, and
, comply with all other requirements ot~ a legat msident of this State. ;
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' t FURTNER CERTlFY that ! ha~~e no intention to return to my forn~er domicile, and I intend to remain in
Ft. Pierce, Fla. St_~T-»cj~____, County,
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Florida, permancntly. ~c•'t. ~
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~ G T, ~ _ - - ~Name) - ~
~ ~ Le nard Goh e `
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- ~ s~ a ~ Margar Gohde
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l- Sworn to a~t~3'~bscribed beforr me ttris~21 _ aay of
•^~.~lrta~~,,~~ove~ber-- - - - A.D. 19_ 72_ . :
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Nc~tary Public State ot fl+rrida at I.aree ~
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; My Commission cxpires ~S- ~ y~_-
(To t+e rxrcuted in du~ficatr and uri~inal filyd ~vith t'letk Circuit Court. and duplicatr with Taz Assessor)
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