HomeMy WebLinkAbout5679 Declaration of Domicile and Citizenship
IO Ttil•. STATE A\U (•ourv~~~~ T~x ~sst.ssoK. 245~s3
Port St. Lucie ('OUNTY. f' LOR I DA :
'~hi. i~ niy clrclarati~~n ot i)omicilr and ('itir.rn~hip in thc Stat~ ut~ f=lorida that 1 am tiling this day in ;
:~~ror~lanc~. :~n~1 in co~~i~~rmity with Sc.;::~~n ,~".17. Florid:+ Statutr~.
1~~•as fc~rnirrly a I~,~al rrsi~l~ nt ot~ Silver Spring _ M`"~`~~d and I '
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Icit. ? (s~acr)
11832 Huggins Drive . Howrvrr, t h:~ve chan ~td m domicile to
r~.i~i«I at - - - - k' Y
IStrrrt anJ Num~rr)
an~l :!m an~i ha~~r b~~n a b~inci ti~ic rcsidrnt ~~1 tlt~ Sta[c uf Florida sittc~~ day ot
, 1 . ,~n~1 1 rrsidr at _ _ _
(Strcet rnd Numbrr)
_ _ . _ • - - - - . _ _ _ _ ('ounty. Florida,
t.'~t. ?
..n~l this statrm~nt i, to hr tak~n as tny d~rlaration of ~itizrnshi{~, artual Irgal r~sidenre and domicile in the State
~+f i I~~ri~la.
(Imrr. hrrr ~n> prrun.nt facts, ~urh as wl~ ~d pruprrty or hmiurss. ur rrlinyuishmr:it of rmplu)'mrnt at formrr
Jum~iilr. rrmo.al of famih• tu nr~~ dnmicil., purchasr ot humr. ~tc.)
TO ylhOm It M~y Concern:
I have been w~orking~ overseas for the U.S. Government (Foreign Service) since 1954•
EWeiy t~a or three years I return to the States for a six to ei~t weeks home leave
vacation then report back overseas for arx~ther ses3~o~ent.
I have a home in Silver Spring, Maryland ~i.ch I intend to sell upon ~ retirement
from the Government. Although, at present I have no home in Florida, this year i
changed ruy home leave address from Silver Spring, Maryland to that of ~r brother ~o
lives in St. Petersburg, Fl~orida.
I have bought some l,and in the County of Port St. Lucie with the General Development
Cozp. rri.th the i.ntent to build a home upon ~r retirement or before r~ichever the case
may be. Fi~EO aNO sECO~
i st~uciE co~rrr~.
ROCEk FO;TRA6
CIERK CiRCU1T ~0li8T ~ ~
RF_COlt?~ VERIElEO~,.~,~
.~w I I i2 ~v PM'~3
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~ I I~l?RTHF=R CERTIFY th.+t 1 will rr~~ist~r at my loral :~~dr~ss ~~~h~n th~ rc_~istratic~n I,ooks rco~,en, and
~ ~c~m~~ly with all oth~r requirrmcnts c,t a Ic~,al rr.i~lr~it of thi~ Statc.
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~ I FI~RTHER ('I:RTIFl' that I ha~~ Rl~ IIIICilIl011 Il) rrturn t~ my torn~~r domi~ile, and 1 int~nd to r~main in
~
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~ 1=1uri~1~, prrm.inrntly. ~c~"• ~
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Nutan Publi.• ,yYbf f:lnrida at l ~rE+~ ' . ~
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" ~ a.4C~iEL ;;AMPBELL r~vr ~~~dc
V4Ci Co ~ scr+ ut S_h8 Ueitad StatA~
ti \1~~ ( u?zimission r~~~ires , :~uiy-eommissioned and quallflod
~y (Tu hr r~rcutrd in duph.air :~nJ uri~~nel f~lyd ~~ith l'Irrk ('ucuit l'~~url.:inJ dupi~ratr ~~ith Ta~ Asxssur)
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