HomeMy WebLinkAbout2283 . . . . . ~ ~
L~eclaration af Dnmicii~ ~nd Citlaen~ttip
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?O TN~ STAYE AND COUNTY TAX ASSESSOR. •
S1. WCiE COUNTY, FIORIDA: • .
This is my decla~ation of Oomicile and Citizenship In the Sta1e of Fior~da ihal ( em filing thl~ day in actordants and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
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I was formerly a legal resident of ~I~O ~ ,
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~ ~nd 1 rosidad at T[o__~ta!-~-~'~~'~r!`~`v ' Howevor 1 hava cha ed m domi le ~
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to and am end have been a bona fide tesident of ihe State of florids ai~ce ~ day of
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, 19~~, and I ~eside at ~fd ~'""`''~~t'~'~
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l~ORT p1ERCE, SAINT WCl~ CQUNTY, ~LOiRIDA - •
~ and this sta4ement is to be taken as my daclarotion of citixonship, actual legaf residente 8nd domicita in the Stata of Flarlda.
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{Insort hare any pertinent facts, such as sale of property or business, or relinquishment of employmenf
at farmer domidle, remova! of family to new domicite, purchase of home, etcJ ~
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~ ' i3~.81.~i ~ . - ~
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; FILED ANQ R~COftDEO ~
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- . ~N--g~c~a~--T~eco~d_.BOOK ~ . . ~ .
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~ - ~ 1964 DCC 23 AM 10: 33 ' ~ : ~ , - ~ ~ ~ :
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: ~ . : . RO G ER PO ITRAS, CIERK ~ - 'i'~...~P, ' -
. ST. tUCIE COUNT~, fIORIDA r i~ 'r
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I FURTHER CERTIFY tfiat t wl(1 comply witfi atl other requirem~nts of s leqel re:idsnt of thl~ Stais, -
~ I fURTHER CERTIFY that i hava no intention to retum to my former domi~ile, a~d . i intend to remain in fORT : -
~ i, PiERCE, SAINT LUCtE COUNTY, FI.ORtf3A, permanenlFy.. ~ ~ , ~
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t ~ . ' • ' (Name)
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~ Swo ~:~a~c~:ubsulbal bafore ma thi; d~y of 1~
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~ CIRCUIT C RT Idotary Publk .
- 6Y 0.C. My CommiuioPi expf~a ,
. Ro b~ sx~cvi+~l in ~upp:ah and ai~nsi fil~d wit1~ Ch~it Graeif Court and d+?~llca~h wi~l1 Tax Aa~o~a ~
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