HomeMy WebLinkAbout1959 DeClaration ot Domicile and Citizcnsi~ip
YO THE STATE AND COUNTY TAX ASSESSOR. 261638
Sl. IUCIE COUNTY, fLORIOA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance ancl
in conio~mity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal resident of ~~`~f f,.~t-.~~ ~ C t3 ?e~S K A
(Ciry) (State)
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and 1 resided at ~p ~ S~ . However 1 have changed my domiCile
' (Srreet and Number) ~
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to and am and have been a bona fide reside~t of the State of Florida since day of
' ~ t~ ~'a ' S. r-
, 19~'~, and ! reside at ~ 4 I ( -r ~ +'P ~ G I-{ ~ I _
(Street and Number)
' i~"'ve ~ S~ L.~ , C-~-~ 3', y S7~
FORT PIERCE, SAINT lUC1E COUNTY. FLORIDA ~
anci this stafement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Inserf here any pertinent facts,. such as sale of properry o~r business, or relinquishment of employment
at former clomicile, remova) of family to new domicile, purchase of home, etc.) ~
Applying, for Homestead • .
- Entering children in school : 2s~s~
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81'M~itA.
IR
CIERR CIRCWT QOURT ~
" RECORO YERIFIEO.....~~.
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f 1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
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~ 1 FURTHER CERTIFY that 1 have no intention to return to my former domi~ile, and 1 intend to remain in FORT
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~ PIERCE, SAINT LUCIE~COUNTY, FLORIDA, permanently. ~
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' Sworn to and subscribed before me this day of , ~ q,~,
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± ROGER POITRAS
; RK CIRGUIT OURT Notary Public
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~ aY D.C. My Commission cxpires
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; (To bc oxucutcd in dunlicalo a~d oric~inal filed ~tviih ~IF~ Cireuij ~Oµry and duplicato with Tax Assossor.)
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