HomeMy WebLinkAbout0611 •
~e~iaratl~n of ~on'tclle ~nd ~itizenship .
. TO THc STAT~ AND COUNTY TAX ASSESSOR, ~308$~
ST, IUCIE COUNYY, Fl4RI~A: . ~ ~
This is my declarotion of Domicile an~! Citizenship in the Stete of Fiorida thai I am filing this day i~ attordance and
In oonformity with Chapter 222. Section 222.17, Flo~ida Statutes.
I was formerly a legal resident of Kin fis ton Pw ~,r;,~•~v. _
(Ci ty) (State)
26 Rcademy Strett ~
and 1 ~esidad at . However 1 have changed my domic~le
(Streat and Number)
b and am arxl heva been a bona fide re=ldent of the State of Florida slnce ~2 - - day of 't
~ • ~
November ~ 64 412 Gra~ada Street
, 19 , and I reside at ~
~ (Street snd Number)
FORT PIERCE, SAlNT WGiE COUNTY, FlORI~A
and this atatement ia to be taken as my declaration of citizenship, actual legal residence and damiciia in the State of Ho~ida.
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(Insart here any pertlnent fa+cts, such as sale of property or ~usiness, o~ relinquiahment of employme~t
at fnrmer domfdle, remova! of famlly to new domicile, purchase of home, ett.)
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BnterxAg sond ~n 1Q~th Gxade 8~ K@C
ord
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,,,,,;«~'~i~r~;,;~.*ablishing resictence ~ ~ l964 ~f0y 23 pM 09
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~2. ''~•..'ry~ - . . _ St. I.UCIE COUNTI' ' R
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~ ~;~ti~-~•'. t'i . • RIDA
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t~tJRTHER C~RTIFY thet ! wil) ~omply wfth a!! ether rsquire~nn pf a laya) ~astclant of thit Ststa.
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i; I FURTHER CERTIFY that ~ 1 hav~? no intention to return to my former domic~ta, ar~d 1 Intend to ~emain in FART
. PIERCE, SAlNT LUCIE COUNTY, FLORIDA, p~rmanently.
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~~es . :.:.........~r - (Name) •
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~fLZ:t~~ ~~i; Leroy Woodhull
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~ ~ f ~ 23 Novembes 64
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;to•and subscribed befo~e rr~e tfiis day af ' 14 .
Rc~~e romu?s ~ . ~
CiR IT COURt . Notary Fubik
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~ ~y D.C. My Commis:ic+~ expir
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. Ro b~ ~x~euMd in dvplieM~ anei ori~inal fl1~d with Cl~ek Cirarit Co~ert, and dupit~a/s wilb Tax A~ora
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