HomeMy WebLinkAbout0553 ~e~l~r~tion ~t Don'Icile and ~itisen$ttip -
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10 THE STAT~ AND COUNTY TAX ASSESSOR, .
ST. WCIE COUNTY, FLORIDA: ~
This is my detlarAtion of Domicile and Citizenship in the State of Florida that I am fiiing this t1~y tn atcordance e~d
in conformity with Chapter 222, Sectlon 222.1 Florida Statutes.
f v+~a: formerly a legal re:identofNOrth Au~uSta Se~ raa~~._
~ (City) . (Siate)
and I ~esided at ~ene xa 1 Delivexy . Howbvar I ho~e changai my domlcJle
~ ' (St~aet and Number) ~ ~
• ro and em and hava been a bona fide ~esident of tha Stete of Florida ainca 20t day of r~
~
. ~ .
Novemb~x , 19 64 and I ~eside at ~~Ze R~e~
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(Street and Number)
,
' fORT ~tERCEa SAINT lUCIE COUNTY, FLORiDA • ~ t
ancl this statement is to be taken as my deciaration of citizenship, actual legal re:lderxe and domitile fn the Sfot~ ~f Flortde.
(Insert hera any pertinent facts, such as sale of property or businsss, or re}Inquishment of employment
~ at former domicile, removal of family to new domicile, purchase of'home, atc.) ~ .
~ntexin `~`3~
g Joyce Ann in the 5th grade 86'Q
James Cecii an tbe 3rd grade fILED AND RECORD
I~ ED
" Barbara Lo uise in 3rd gr~d~ G~-Reco~.BppK
~ carol Jean 2md 1~64 I~Oy 23 AM (0: Q2 ~
- ~,1;~`~~~~-~ ~ ~ ROCER POITRAS CL~RK
v ~ - S1. LUCIE COUNTY,
~ `~~~+;`~~~~~~~~r~ i; ` onna Marie l.st rade
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~ i I FURTHER CEitTIFlf that I wii) comply with ati othar requlrements of ~ Isqal restdent of thts Sta4e. • t
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~ -
~ 1 FURTHER CERTIFY that ! hava no fnfention to roturn to my former domic~la, And i intend ~ta remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIOA, p~ermanentty. ~ -
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'''.~Cz~'; Helen ~laClc~urn ,
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,,.•,Svir~ith to and :ubscribed befcre me this 23r~ day of November _ 19 64
, ,
~ - .
R4GER K?lTRA~
~lRC COURT Nqtary Pubik -
6 d~~"~u~ D.C. ' My Commiaaion expires '
' ~ ~ ~ eoaK ~.03 FaCE
- Ro b~ ac.a+rad ie dvpdtcal. awd aipi~al Nlod witfi Cl+~ic c.i~it Gourt, and dvpltcsi~. wi1i~ Tax Ai.eao'.~ .
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