HomeMy WebLinkAbout3321 Declaration ot Domicile and Citizenship
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~1. IUCIE COUNI'Y, FLORIDA
ih~s ~s my declaration of ~om~ule and Cit~zensh~p in the State of Florida that 1 am fil~ng this day in accordance and
.n conformity with Chapter 222, Section 222.17, Florida Statutes
1 was formerly a legal resident of ~~V~~t ~M YOr~C _ _
(City) (State)
and 1 resided at 31 ~Ottflut StrNL However 1 have changed my domicile
(Street and Number;
ro and am a~d have been a bona fide res+dent of the State of Florida since ~ 7th day of
~r~~ , 19_72 . and I res~de at 530 Floresta Driv~ Por! St. Lucie
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FIORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(in;~ri he~e ary pertinent facss, sL:h as s3':s ef proFerty or business, or relinguishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Purchssad the folloving desc~ibed rsal property:
~53~ Florasta Oriv~, Po~t St. Lucie, Florida)
Lot 10 Bl odc 258, Por t St. Luci Sectt on 24
as ~acorded in Plat Book 13, pag~s 31 and 31A
thru 31C of tha public records of St. Lucie Countr, ;
Florida. Desd ~aoorded in O. R. Book 208 Paga 1027.
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S1'• CUCJE CO ~
ROCER P t~~ L
~1ECOR0 VER FIEp ~ ~ .
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~ tt~cc 8 ~ '71
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1 FURTHER CERTIFY ihat 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 I intend to remain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ (Name) l~o~ri s Mithif1
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530 floresta Orive
- (Address)
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- Swom to an~ wbscribed before me this _ 30th ay of r~r _ - , 9
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ROGER POITRAS ' ~ - -
~ GLERK CIRCUIT COURT ' ~~~'~~•.~/N6tary Public ~
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(To be executed in duplicate and original filed with Cf'elljCirsuit. Co r~cand duplicate with Tax Assessor.)
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