HomeMy WebLinkAbout5921 Declaratio~ of Domicile and Citizenship
~ro Ttit- s~~nT~: An~ cOUNTY 1~AX ASSf:SSOR, ;~~5654
ST. Lut 1 E _ ~•pUNTY, FLORIUA:
Ttii~ i~ mv drel,iration oi Qomicilc :~nJ Citizenship in th~ Statc of Florida ihat t:im tiling this day in
accorelance, an~i in conCormity with Sertion ~'_'_'.17, Florid~ Statutes.
t was tormrrly a I~gal rrsidrnt ot~ ---CN E R AM S~ C~--------- ~nd 1
(City> (slatr)
r4sidrd at _ P_ 0_ BO X_ 266_ ~WAL l AC E~_ S. C. . However, 1 have changed my domicile to
(Strrrl a~J Numbrr)
and :~m and havr bcen a bona tide r~sidrnt of thc State of Florida since ___?LQ-- day oC
JANUARY 19_73___, ;~p~ 1 residr at _?311 S. 36TH $T.
- - - (Street and Number)
FT P 1 E R C E ST LUC 1 E County, Florida,
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(c'it.•)
and this statement is to be takrn as my derlaration of citizenship, actual legai residence and domicile in the State
uf Florida.
(Insrn herr an~~ prrtinrnt facts, such as sair uf pruperty ur businres, or relinyuishmrnt of rmployment at formrr
domicile, trmov~l uf family to nr~s domicile, putchrse of home, rtcJ
R~~X~I~~ ENTER I NG GH I LD I N SCNOOL S
TERESA THONPSON - 12 YRS.
i FIIED ANO R~CQR p
' ST. lUC1E COUMTY ~A.
ROCcR POtTRAs
! CLERK CI~tCU1T COU
~ RECOR~ VEkiF1E0 ~
E
~ ~AM 15 9 SB AH'~3
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~ 24565~
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I F-URTHI-R CERTIFY tl~at I will r~Lister at my local address when ihr rrgistration books reopen, and
~ompl}' WItII aII Olllti iC(~i.iremcnts of a le~:a! resi~ient of this State.
I FURTHER Cf:RTIFY thcit 1 have n~ intention to re[urn to my forn~cr domirile, and 1 intend to remain in
~ ST LUCI E
~ FT P 1 E R C E _ , County,
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~ Florida. ~~rmanently.
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AUNT~ BE TY HA~'$~'HER
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-_`~~-,~`-;z (i~d(~fCSS~
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~ Sworn toend~y}~bscribed before m~ thi~ _ 15 _ Ja>' of
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~ I~q}ary~~u~c Slate uf Fl~irid at Lar~c bOOr ~On rAGE
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,••'tTo be r~rcutrd ~n duplira~r and uri~in:d til~d «ith <'Irrk Circuit CuurL and dupli:ate ~~'ith Tax Assrssor) t
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