HomeMy WebLinkAbout4487 Declaration of Domicile and Citizenship
'CO THt~ STATl: ANU ~'OUNTY TAX ASSI=SSOR,
St. - Lucie - - - - ('OUNTY. FLORIUA: 2~~s~S
Tl~is is my drelaration ul' Domi~ilr and Citir~nship in the S[atr of Florida that 1 am filing this day in
accord:+izcr, and in c;c~ntunnity with Scction ~?_'.17, Florida St:~tutes.
1 was Cornierly a Icgal r~sidrnt ot' _ A~lin~~on-__ •--Sl-i~gin-i A and I
cc~~r i (s~~~~~
~~,i~~~ ,i~ 1014 _ N_~ _ N~lg4il_~tL~e.~____ . Nowever, I have changed my domicile to
(Strtrt and Numt~r)
and am and have bern a hona tide rrsidrnt of the State ot~ Florida since _2bth-_ - day of
-__D_ecemher _ . 19_7_2 and i r~sid~ at - _ -_~445--~! --Elo~isia-~uenu.~------
(Strret and Numbrr)
- FOrt __P__ierCe - - • I_i~ci P - County. Florida,
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and this statement is to be takrn as m~~ de~laration of citizenship, actual legal residence and domicile in the State
of Florida.
(Inser~ hrrr an> prrtinrnt iacts, su.h as vlr of pruprrty ot businrss, ur relinyuishment of rmployment at formrr ~
Jomirilt, trmo~al of tamih• to nr~~ dumicilr, purchase uf h~~me, etc.)
Establishing residence
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~ 1 FUKTHER CERTIF~" that 1 will re,~i~ter at m} loral addrrss when th~ registratirn~ books reo~~en. and
~ ~omply with all other requirements ot a Ir~al resi~lc nt ot~ this Statr.
~
~ 1 FURTHER CERTIFY that 1 ha~~~ nc~ i:~tention to return to my fornierdomicile, and 1 intend to r~main in
~
Fort_ Pierce . _ _ --S~ Lu~ie- . County.
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~ Florida. F~ermanentl~. ~c~~.?
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- lchard L. But _
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~w~ ~xanna P. AutcH@'~'fCCS?
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Swottt ~~>;:~t~ tittbsrribed beti~rr nte cn;~ 29th ~lay c~f
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, . - - _ - - - - U9 1480
~i ;ta(v~'ublic State uf FI~~nJa at Larie O~ PAGE
~ ~ / ~ T p-7 BOOK 2
~ ~1~~E~'l.nii~Swii.R!~~ires----? / I Q.<~ ~ ! / ~ .
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(To be rxecutrd in dupleratr end nn~:in.d (~Ied ~ailh ('Irrk ('ircuit ( uurt, anJ dupli:~tr ~crth Ta~ Ascessor)
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