HomeMy WebLinkAbout1367 . ~
pec~arat~on of Domicile and Citizenship ;
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i IO Ti11= STATE ANI) ('OUNTY TAX ASSt:SSOR.
292595
St. Iucie _ _ _ _ _ (~pUNTY, FLORIDA:
Thi. ~s my d~-~lar~tion ot Domicile and Citizenship in the State of Florida that 1 am filing this day in
a~conlan«, ~nd in rnnformity with Section 222.17, Florida Statutes. ~
1 v~s fonnr~ly a k~l ~csid~~t of _---;°°°++P~ e ,-~~th ~A''~~ i na and 1
/Ciqrl (Sl~te)
r~~si~i~~ at __?~__~~o Circle _ Nowcver, I have changed rr~y domicile to ~
i1i11 be ~s~ ~•a N~.eK~ . `
a~ a bona fide resident of the State of Florida ~cmoe t~*P lst__ _ day of
_~~~+T , 19_?~y and ! reside at Unit A Lot 1~ Block ~1 ~ ~
~ (Street and Numpet)
F~ ~~e St. L~cie County, Florida,
(C~iti?
and this statea~ent is to be taken u my declaration of citizenship, actual legai residence and domicile in the State
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of Florida.
(I~snt ~ett a~) /e~ti~eM Yscts. arc~ as sde of Propett7 a~. a«~QdbAment of emplorment st fo~me~ .
iosic~e. ~saRa1 ot ta~iy w wew do~icie, frrclaM ot Aos~. ett.)
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I a~ airrently raiding at 280 ~4rti~ Averwe. Dahloneyi. 6~argia 30533 and will
~ain at this location untill ~q? retir's~ent.
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• I orn the iot 1isLed abore and plan L~ resid~ there upo~ r~tire~ent. ~i
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fIlE01?MO RECOROE ~
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~ 29259
1 FURTHER CERTIFY that 1 will register at my local address when the registration books reopen, and
compty with ail other requirements of a legal resident of this State.
i FURTHER CERTIFY that I have no intention to return to my former domicile, and I iptend to remain in
Ft pierce _ , _ St. Lucie _ _ Cou~ty, ~
f-lorida, permanenUy. ~`'~s~
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- - CHAI~'ES N - - WOOD - - , :
(Name)
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Unit A Lot 13 Block 31 f~
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( AdJreca)
~ - _ CURRENT ADDitESS:
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.'~y~rtn•add",~+f~.~~ribrd bcfurr mr this _ Jay of ~
: 2~ l~srtin Are
; - ~ _ _ . A. D. ~ 9 _ . Oah1 onega. 6eorgi a 30533 :
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1 To I~e eiccrtcd i~ dnplica~e aoJ .xeFinal fdrJ ..ith l'krk ('ircuM ('ourt, ~nd duplicate w•ilh Tsx Asscwx)
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