HomeMy WebLinkAbout2891 • i.~'~~:~i:1~C~~~U07 Ut ~i1illi~t~:± ciitCi ~•~:ii?C'[1'--~~1l~I `
iC) TNL• STATE AND COUNTY T/1X l~SSf.S.SpR, ~
51 :l~C1E COUNII", FIORInA: • ~
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lliis is my declaration of Oomicile and Citizenship in the State of Florida t~iat I am filing tliis day in accordance and
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~n con(ormity with Chapter 222, Sect;on ??2.17, Florida Statules.
~ Silver Spring Maryland
1 was fo~merly a(eyal ~esident of . !
(Ciry) - (State)
12919 Valleywood Drive
and 1 resided at However 1 have cha~ged my domiCile
(Street and Number)
' the 16th
to and am and~ have been a t~ona fide resident of the State of F~orida siPce _ day of
panisn La es - Me iterranean Blvd. So.
- June 71 ' Port St. Lucfe, Fla. 33450
- i9 , and 1 reside ~at
_ (Street and Number)
~
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
a~ ~d tf~is stateme~t is to be taken as my declaration of c+tizenship, actval legal residence and domicile in the State of Florida. '
(Insert here any pertinent facts, such as sale of pro,certy or business, or relinquishment of employment
at former damicife, remova! of family to new domicile, purchase of home, etc.)
Establishing residency
fi~Ee aNn ~ECOeaFo
ST. LUCIE COUqTY FLA.
ROCER P4it~AS
, • CIERK l;:=iCUit COURT
RECf::^ :~=!=+E4
- ~ M~ 15 3 32 PH'?3
2498(~F;
1 FURTHER CERTIFY that I wili comply with all other requirements of a legal resident of this State.
t FURTHER CERTiFY that I have no intention ta return to my former domi~ile, and 1 intend to remain in FORT
PIEP,CE, SAINT LUCIE C9'JNTY, fLORIDA, permanently. ~
. - '
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,C~(Jp~i~~ - • .
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~1 ~ , .i _
_ ' J ` ' y/ .
~ ~ . ' ~ - 's (Name)Eloise E. Kinahan
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'~t = Spanish Lakes - So. Port St. Lucfe, Fla.
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~ • (Address)
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Swom to and subscribed before me this 1S day of March ~ 19 73 .
ROGER POITRAS
CLERK ClRCWT COURT Notary Public
~ f:
~Y Y _ U.C. My Commission expires
- • eaoKz~~. r~cE 2~ ~
(To be oxecuted in cluplicate and ori~inal filed wiil~ Clerk Circuit Co~rt, anJ duplicato with Tax AssQSSOt.)
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