HomeMy WebLinkAbout2702 Deciarat~on of Domicile and Citizenship
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4'70930
TO THE CLERK OF THE CIRCUIT COURT.
ST . LUCI E COUIV7'Y, ~-I,p~pAe
This is any declaration of Domidle and Cltisenship In the State of Florida that I am filinE this day in aooordanos, and is
conformity with Section 222.17. Fbrida Statutes. 4
I was formerly a kgal resident of Mans i e 7 d Ohio and I
1041 l8tak)
resided at 34 8 West Straub Road _ _ However, I have changed m7 domitale to
(8tnat asd Numb
and am and have been a bona 5de resident of the State of Fbrida since 15 - h day of
March ~lg _andlr~esideat 1?06 Bavshore Drive
(@lseat asd Ph~~1
Fort Pierce St. Lucie Couaty.Flocida.
1(x41
and this siatemens is to be tai<en as my declaration ~ l;rs"a1 reaitleaee a~ d:,.:.idk in the Stag ~ F>~!•
I am the owner of the following described real property:
Lot 2 Block 2 SURFSIDE SUBDIVISION, Unit One, P. B. 10
Page 1? of the public records of St. Lucie County,
Florida.
19T9 OEC 28 p!I ~ OS
ND~PECTOYRDFEiA.
_ r01TRAS
IL CIRCUIt CDiIRT
~M VERIFIED
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4'70930
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I FURTHER CERTIFY that I wt71 register at my local address when the registration boob reopen, and comply with all
~ other requirements of a legal resident of this State.
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I FURTHER CERTIFY that I have no intention to return to my former domict7e, and I intend to remain in
• Fort Pier_ ce St . Lucie _ qty,
(aryl
Florida. permanently.
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~ is ar
1 ays ore (edde~..a rive
~ Swore to and subscn'bed before me this ~ 8~ day at Fort Pierce , Florida - 33450
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g `1~~ ~ ~tt~ . A.D.19-19
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` , ~ • • ` (To be eseeuted in duplieab and original f51ad with Aert anwit Gaut. and dup(kate wDh Ta: Asaa~o~r) ,