HomeMy WebLinkAbout2229 Declaration of Domicile and Citizenship
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TO THE STATE ANU COUNTY TAX ASSESSOR,
_ST lUC I E COUNTY. FLORIDA: j
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Th4s is my drelaration of Domicile and Citizenship in the State of Florida that l am filing this day in ~
accordance, ,ind in conformity with Section 2"_'2.17, Florida Stah~tes. ~
I was formerty a iegal resident of GROSSY 1 LLE ,:TENMESSEE and 1 ~
(citr) (state)
rrsidec! t_ G E N E R A L DE L 1 Y E R Y s.... However, 1 have changed my domicile to
(Street and number)
dnd am and have been a bona fide nsident of the State of Florida since ~~h day of
FEBRUARY ~q?3 and I reside at 3323 SukR1sE B~vo
(Street and Number)
FT PI ERCE ST LUC 1 E County, Florida,
(city) ~ ,
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(I~srri herr any pertinent facis, such ac sak of propetty or businrsa, ot relinquichment ot employment at former
domicile, removal ot family to new domicile, putchase ot home, etc.)
ENTERiNG CHIIDREN IN SCHOOI
E~MARC - 11 YRS ELMER - 13 YRS•
FANNIE ~ 9 YRS
ANTHONY - 7 YRS
~4'7~f 5 ~
vt~EO ~~o s~c~~o~
3T. wciE cauN Y
ROCER POITRAS.
CLERI( CIRCUIT COUfti
REC~RO VERictEO~
~ ~ ~
I FURTHER CERTIFY that 1 will register at my la;al address when the registration books reopen, and
comply with all other requirements of a legat resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and I intcnd to remain in
FT P1 ERCE ` ST LUC 1 E _ County,
Florida, permanently. «~'t`~~
.
~
RUB SHERR I lL (Name) MRS• DEME~
- - ~Addressl
Sworn to and subscribed before me this _ 6T H__ ~~y o f
FE~~M/tR~f,, _ A_D. 19 73
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s s ,.l K Qy PoWec State of Florida t Large
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_ .`~i~t~a~!G~~ri CXpires-------- --30~-- ~
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,'••'„~Cj~ tx r~ecuted ~n duplicalr and un~:inal filyd ~vith ('leti: Citcuit Court, and duplicatr with Tax Asseswr)
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