HomeMy WebLinkAbout2628 Declaration of Domicile and Citiienship
TO THH STAT~ ANU ('OUNTY TAX ASSESSOR. 2~3415
St.Lucie _ _ _ COUNTY, FLURIDA:
Tl~is is my cleclaration of Uomicilc and Citizenship in the State of Florida that 1 am tiling this day in
accordance, and in cont~orn~ity with Sertion _'?~.17, Florida Statutes. ,
I was formerly a Iegal residrnt o1' _k Cape Canaveral,Fla and 1
(citr) estace>
7S22 No. Magnolia~btx Apt. 4 Howtver, 1 have chan ed my domicile to
residcd at - - g
(Sirrrt and Numbrr)
~nd am and have bcen a bona f5de nsident of the Stat~ of Fiorida since _ - day of
Dec . 1 72 Route 1, Box 32 4
_ . 19- and I reside at - :
(Street and Numbcr)
Ft. Pierce, St. Lucie County, Florida, .
- •
tc'~v?
and this statement is to be taken as my declaration of citizenship, actual iegal residence and domicile in the State
of Florida.
(Inserl here any perlinrnt facts, such as salr oi property or businrss, or relinyuishment of employment at fornter
domicile, remo~~al uf family to new~ domicile, purchase of home, rte.1
Carol White
Virginia White
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S~~~UC~t~ ~~o~NTY FIA.
RoG~~ Fn~TRAS~
ciERk c~ =cu~r cavRt vc `
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~ 43435
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t FURTHER CERTIFY that I will register at mv local address when the registration books reopen, and
romply with all other requirements of a Icgal resident of this State.
I FURTHER CERTIFY th?at 1 have no intention to return to my former domicile, and 1 intend to remain in
Fort Pierce~~;: St. Lucie ~
County,
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Florid~;, ~cri~tayp~ ~1'h~i, .
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• (Name)
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~ ~ : s Mary ;
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~ Swor~tf'~q~~~~bed before me this ~lay of ~
~ December ~2
~ 4.U. 19-_
~ J~~~"//__~~" -
~ - K - - ~0~~08 n?a~~~
~ tary Public State of f~lorida at e
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- en+c roeuc n~?~ o~ Aowa ~T u?~E
My Commission expires___-___ __a„«K~t~~?i'~si~n ExPiKts rEC~. 16. ~973
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(To Ne exrcuted in Jupliratr and uri~inal filed ~~~ith Clerk Circuit Court, and duplicate with Tax Assessor)
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