HomeMy WebLinkAbout2350e
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To the Stats snd Counry Tax Auessor,
FLORIDA
c;%~"'""'t C`' ~i
This is my Declaration of Domicile and Citize~ship in the State of Florida that 1 am filing this day in acco~d-
ance, and in conformiry with Section 222.17, Florida Statute:, as amended by Chapter 26896, laws of 1951.
I was formerly a legal resident of _. ~~__r ~_____~!%`7~_`-°__ ___Yy_/. ,~'~'4 !~!S /~
Gily -~---•--------- A~w --
and I ~esided at -- -----------~v_T~°..---1-----------------------=-~'--` ~- ~~~ _ _1?~! 5... ----~~L~----
s~...~ «+e ~e.. ~s.~a rM .~a s~.a
However, I have changed my ~omicile to and am and have been a bons fide resident of the State of Florida
since ._~1~~v~¢1~~--... day of . ~_~/~.--•_ --_- f, and 1 reside at
-- - - ----------------------------------. 19~
/'__eN /~~e---,(~1- i~ox-~'5~~--- - --------V~y~~--.~~i4_C j~._ .-- --. Martin ~ounty, Florida,
~..«~ .~a N,~.. rti
and this statement is to be taken as my Declaretion of ~tizenship, actuel legal residence and domicile in the
State of Florida. (Insen here any pertinent facts, wch as sale of property or business, or relinquishment of
employment at former domicile, removal of family to new domicile, purchase of home, etc.)
.~'~-~d---.lY~~---.~us~~!~s,~'------1~----~~._ ~_..~~/~. _~~Ti~~~ _ _ .. .__
1 Further Certify that I will register at my locsl address when the registretion books reopen, and aomply
with all other requirements of a legal resident of this State.
1 Further Certify that I have no intention to return to my former domicile, and I intend to remain in
-------------s/~1~__,~~~.1J/ ~E-.'~ C~ -------- Mertin County, Florida, pe~manently.
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Nsms - Hu:band
.
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Nsme - Wife
THIS SPACE FOR RECORDING INFORMATION
Swor d subscribed before me thi~...._ day
of - --------.19~~
- -- - , ° - ' . .
- ---- -------- -- -------~°----
Notary Public or other Official takin wledgment
My Commission expires ., ._.___.__
Np~ pY~l[. SUt! O~ ~011di ~t Vtp~
My CaR~aission facpires Nor. 1, i982
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1981 f~B -2 P~ 2~ 27
F~~re ahc F-_-coar~~ c
SLIIlC-E COUN1Y.Fl:..
RCGER ro~iH~s ^
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5155bi5
9~OK347 P~~Ez344
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