HomeMy WebLinkAbout0919 3 '
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~ Decla~~ti~r~ ot Dorniclte ~nd C~~~Y~n~~lp ~ ~ ;
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TO TH~ SYATE ANt~ COUNTY TAX ASSESSOR, f
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5T. LUCIE COUNTY, FLORIDI~: ' . 't
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,This is my declarotion of Domicile and Citizenship ln the State of Flo~ida that I am filing thia day in accord~+nce and ~
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in conformity with Chapter 222, Section 222.17, Florida Statutes. ;
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I was formerly a(eg~l resident of Denver C010~8d0 i
(Clry) (St~te)
,~~f~~ 139~ Woxchester Street
- and ! resided at . However 1 have changed my doml6ite
• (Street bnd Number)
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to and am arsd have been a bona fide resident of the State of Florida since ~ 20 day ot
• ' Novemtaer 64 ~Ang1e Road
, 19 , and I resida at
(Street end Number)
~ FORT ~iERCE, SAINT LUCIE COUN1'Y, FIORIDA
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and this statement is to be taken as my dectarntion of citizenship, actual lega! residence and domi~ite in the 5tate of Flo~ida. r
(Insert here any pertinent facts, such as sale of properry or business, or ~elinquishment of empioyment
at former domicile, removnl of family to new domicile, purchase of home, etc.)
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: 133.Q45 .
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Bnt~ering daughttr in 7th Grade
~ ~ FILCD ~'~PlD RECORDED
; IF2..p~#~~ial-.Reco~-600K .
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- :•~,,~~::a; ~:;•~~~1~~•., 19G4~JOY 27 PM 2: IS ~
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~ s ° ` ` ~ : ROGER POI~RAS. CIEftK
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~ ~ ST. LUCIE COllNTY, FLORIO~
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. I FURTHER CERTIFY tfiat 1 will oomply with all athar ~equiremenh of a loya) testdant of thi: Stete,
; 1 FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT
'ti PIERCE, SAINT tUCIE COUNTY, FLORIDA, permanently. ~
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~ '~.f~ ~'~'~~'t Lilly Schneider
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' ~ s°' 4~`?:~ } ~ :1 ~ . (Address)
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:Y ;~~bsuibed before me tht: 2~ day of ~10vember ' 19~i4.
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' R04ER WOlTRllS • ' . ~ .
K C iJiT COURT h~tary Public ~ ~
8y - O.C. My Commission axpires
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; (To b~ ~xocut~d in duptlcahs and o~inai Rle~d with CtK1c Grc~+it Courl, snd dvpll~ with Tiuc Aa~sora
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