HomeMy WebLinkAbout0920 . . . . . . ~
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Dectar~ti~n of ~amicile ~nd ~~tiz~nship ~
ASSESSOR ' ~-+-~~~4C~
TO 'fH~ STATE AND COUNTY TAX ,
ST. LUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the 5tate of Florida that I am filing this day in accordanta a~d
in co~formity with Chapter 222~ Section 222.17, FIo~Ida Statutes.
~ Denver ~ Co~.orado
I was fo~merly a legal resident~ of ~ (State)
(City)
and I resided at 3Q16 UrSUla Stre _ , Nowever I have changed my domidle
(Street apd Number)
20
to and am and have bsen a bona fide resident of the State of Florida since day of
November ~
, 19~i.4, and I reside at ~nele ~^ad
(Street and Number)
fORT r1ERCE, SAINT WCIE ~OUNTY, FLORiDA ~
' arid this statement is to be taken as my declarotion of citizenship, adual (egal ~esidence and domicfle in ~ihe State ef Florlda.
~ (inser'r hera any pertinant fatts, such as sale of property or business, or relinquishment of emptoyment -
at former domicila, removal of family to nsw domicile, purchase of home, etc.)
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! Entering son~.: in lst Grade
~ 13104~ ~ ~€.i?, .
FII.~D AND ft~~OZQ~~ o~~ .~t',~. ~
ir~__ . . ~;~aK ~ ~
ri ~r ' ~~a:. , :
~ 19G4 f~0'~I 27 P~i 2: I 5 v;~`'c..,~~~'~;: .
1 - _ 5,~~~
; ROGER ~'OITRAS, ClE(iit ~ -•-,,,~r~••.;,~'`..'.•~~,e``~i; .
~i ST. CUCIE COUtVTY, FLORID~' =1.
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~ I FURTHER CfRTIFY thet I wlll comply witfi a11 other ~equirements of a le~a) rosident of this Stete. _
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1 fURTHER CERTIFY that 1 have no intention to return to my former domicjlo, end I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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` C
Y ~ ~f~
:3 • ~ (Name)
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~ F ~,,,r ~ C~ { ,
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; x~~~ ~ M ~ Bvelyn Klaesea ,
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' Swom to and subacribed befors me thit 27 day of November ~~q 64
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~ ~ ROGER POITRAS
3~ C CiRCU1T URT Notary Pubiic
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-1 ~Y ~ D.C. My Commission expires . -
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(To b~ ~x~cvt~! in dupiicat~ and oti~i~ai Hled with d~rk Circuit Cou?+'t, and dupiicat~ with~T~x Asse~oe.1
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