HomeMy WebLinkAbout0427 ~
Declaration of Domicile and Citizenship
246002
TO THt: STATt: ANU ('OUNTY TAX AS~k.SSOR,
St. Lucie _ COUNTY, FLORIDA: ~
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Tlii~ is m~• cl~rlaration oi~ vomic:ilc ,in~l Citircnship in th~ Statc of' Florida that 1 am tiling this day in !
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.111'UIUi11111', aliili iii ~.viiiiiiiiiiij riili: .~~.i.aii:i~ a . ~ a ~a:uu -
Denville New jersey
t was i'armerly a legal resident of - . - - - - and 1
(City) (State)
Oak Street
r~ si~lcd at - - - - - - - - - . Nowever. I have changed my domicile to
(Strrrt anJ Numbrr)
and am and have bc~n a bon;~ tide nsidrnt of the State oi Florida since --------~ot~~
. 1~) __61 and 1 resid~ at Pine View_ Park-- -
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Fort Pierce $i. Lucie (Street and Number)
_ . - - - County. Florida,
(Cit.~ )
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
ot~ Florida.
(Inseri hrrr any prrtinrnt fa.IS, surh as s:?Ir of pruprrty or businrss, or relinyuishment of employmrnt at tormet
domicile, remo~'al uf family to neti~• dumicile, purchase of home, etc.)
My husband, Ernest H. James, Sr. and myself have resided here oontinuously
since 1961; we have been registered voters since October 4, 1968.
~ ST~LUCIE COUMTY fLA.
ROCER POITRAS
CLERK CtRCU1T CO
RECORD VER~~tEp~., I~~
J~ 19 10 03 AH'73
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~ I FURTHFR CF.RTIFY that 1 will register at my local address when the registration books reopen, and
~ ~omrly with all other req!iirements of a lrgal rrsidrnt of thi~ State_
~ 1 FURTHER CERTIFY that 1 h.n~e nc~ intention to return te my forn~er domicile, and I intend to remain in
~ Fort Pierce _ St. Lucie
~ - - - - - _ - - - County,
~ Ftorida. p~rmanently. ~c''`~
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4 ~ ~ Lenora ~IL james ame)
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: h~worii ~af}d sffbscribed before mr this _ 19_ ~fay of
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otar>• Public State uf Fbrid ? Largr 1 R~~i1
• ~cT paeuc sut~E oF ftoato~t AT WiE dUOi~ U PAGE ~
~ ~1y Commission expires . Mr C~t~~uwN ExP+tcta FEB. 16, ilT~' :
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(Tu br rar:utrJ in Juplica~e aaJ uri~inal filed w~ith ('IerA Circuit Courl. ~nd duplicate w~ith Taz Assessor)
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