HomeMy WebLinkAbout2948 . Declar~tion ot ~on~icile and Citize~~hlp 1~~2n~ ~ ;
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j TO THE STATE AND C~OUNtY TAX ASSESSOR, !
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' } 51. IUCiE COUNTY, FLORIDA:
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` This is my declaration of Domicile and Citizenship in the State of Floride that I am fifing this day In ecco~dance and
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in conformity with Chapter 222, SecHon 222.17, Florida Statutes. ~
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I was forme~ly a legal resident af XeniA ~ Oh~ ~
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i ~ 5 5 5 Che s t n u t S t r e e t ~ . hlowever 1 hava cha~ged my damtvle '
' and i ~esided at ~
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; to and am and hava been a bone fide ~etident of the State of Florida stnte 6'th day of ~
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! AUgust 64 ~hamrock Vi~la~e
, 19 , and 1 reside at (St~eet and Number)
fORY PIERC~, SAlNT IUCIE COUNTY, FLORlDA ~ ~
: anc~ this statement is to be taken as my declaretion of citizenship, actual legal residence and domicile in the Stab of Horida. r
' (Insert hera any pertinent facts, sueh as aale of.property ar busi~ass, or relinquishment of employmant ~
at former domicila, removal of family to new domicile, p~~chase of home, etc.) _ ~
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~ Snfiering ~zren Sue Sodders in school ~
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; . f ILE AND RECORDED '
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~~cial Re a DnqK . ~
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1965 JG~~ °2 AM 10: 23 ~ ~ .
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: ' f ~ ~ ROGER POITRAS, CIERK ,
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s~ a ST. IUCIE COUNTY? FLORID ~
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i i FURTHER CfRTIFY thet 1 will comply with el) ~ther requlrements of a ta~al resldent of thl: State. !
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` 1 I FURTHER CERTIFY that I have no intention to retum to my former domic~le, and I inter+d to remain in fOitT ;
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= ~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, pormanentiy.. . • ;
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' ~ t+r t ?o ~ - f
t . ~ . • • . (Name)
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. ~ ~o , . Harold L Sodder~ !
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F.~ 1 ,f~ w`f~~~~'~`~'~I a`.. - • . . (Addrass) . .
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l~~vom to end subscribed before me this a~d - day of Jan~~ , 19--$~
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~ ROGER POII'RAS
€ ~tK CIRCUIT COURY . Notary Public
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ri gy O.C. M~r Commiision expires
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~ (To b. .x.waa i~ di,pNcate .na ort~ia~l fil~d with qKic ciraE3+ c~r+, and dvpi3c.t. w~ Tex i?a.aora
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