HomeMy WebLinkAbout0775 - t?~cl~r~~tic,~~ oi pornicil~ ~-~riti Citizensltiip
TU 1HC STAIE AND COUNiY T/1X ASSL•SSOR, ~wY~~
51. WGE COUNTY, FZORlDA:
This is my daclarotion of Oomicile and Citizenship in the State of Flo~ida that I am filing this day in acco~dance and
in conformity with Chapte~ 222. Seclion 222.17, Florida Statutes. .
I was fomne~ly a lega) resident of CO~.tlt[1bUS _ Gg ~
(City) (State)
and ! ~esided at SZ14 Armour Rosd However 1 have changed my domic,~le
~ (Street and Numbe~) ~
to and am and have been a bona fide resident of the State of Florida sinte 25th day of
March ,~9-Z~ and 1 ~eside ~at ' 368 lohnst~n „$1-rPPt
~ (Sireet and Number)
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FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile i~ the State of Flotida.
(Insert here any pe~tinent facts~ such as sale of praperty or business, or relinquishment of emptoyment
at former dorriicile, removal of family to new domicile, purchase of home, etc.) ~ -
. ~l~~~c~4t~k~~f~S~ ` .
- Entering children in school :
25p44S -
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~UCIE C0~1~T1t-
' CLE KCER p01T
RECORa vFaRiEO
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R.,,;~;,~
. • . M~ 1~ 910 ~ll'l3
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! 1 FURTHER CERTIFY that 1 will comply with all other requirements of a tegaf resident of fhis State.
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i 1 fURTHER CERTIFY that I have no intention to return to my former domiCile, and 1 intend to remain in FORT
G PIERCE, SAINT LUCIE COUNtY, FIORtDA, permanently. "
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l . . , ~ ~:,J v : , . ~ (Na me)
~ M~ t~ •;~~'•,°~c--f . _ Bobbie Barron (Mrs Charles ~
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; ~~•......•••e - ~ - 26th
JvooRn td+qtdl su~ssribed before me fhis day of ~rch ~q 73
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; ROGER POITRAS
~ RK CIRCUI COURT Notary Public
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~ [~Y ~`c ~.-l.Gl/ D.C. My Commission expires
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(To be oxocuted in duplicato and original filcd wilh Clerk Circuit Cour1, and duplicate wifh tax Assossor.j
ba~212 ~ 7?5 ~ ~
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