HomeMy WebLinkAbout0332 • Qect~r~~tion at Dor;ticil~: ~~nd Ci~izc-:n~-~~~ip 2~99
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TO TNE STATE ANO COUNIY TAX ASSESSOR,
51. lUC1E COUNTY, FLORIDA: • ~
lhis is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordante a~d
in confo~mity with Chapte~ 222, Section 222.17, Florida Statutes.
1 was formerly p legal resident of .~~SrC~ Ark
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(City) (State)
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and 1 resided at 1409 E8st MOOP6 . Howeve~-I have changed my domi~ile
~ (St~eet and Numbe~) ~
to and am and have been a bona fide resident of the State of florida si~ce _ 15th day of
' ~al"Ch , 19..2~, and I ~eside 'at ~38 Pandora Ave. ~
(Slreet a~d Numbe~)
FORT PIERCF, SAINT LUCIE COUNTY, FLORIDA
a~d this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts,. such as sale of property or business, or relinquishment of employment -
at former domicile, removal of family to new domicile, purchase of home, etc.)
A~~~,,~~~ 250099 .
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~uciE couNt°v
- Entering children in school : axx ROCER POITRAS
~ ~ CLERK Ct,1CUlT COURt
RECOtiO VEF~FIEO~..~,... .
~ , - M~t 11 2 ia PM'73-
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1 FURTHER CERTIFY ihat I wil) comply with al! other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention ~to return to my former domic~ie, and 1 intend to remain in FORT
PlERCE, SAINT LUCI~ COUNTY, FIORIDA, permanently. '
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' ~ s , ~ Araold ~rooks
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Sworn to and subscribed befo~e me this 2~ day of ~a~~~ , 19 ?3
ROGER POITRAS .
LEFtK C(RCUIT COURT Notary Public
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~Y D.C. My Commissiun expires
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(To be oxocutod in dupticafe and orn~R~ai fil ~J w+Ih CI rrk~ ~ ircvif Court, and duplicate witM Tax Assoswr.)
c+~GK FAI~ ~J~ _ . ~
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