HomeMy WebLinkAbout2954 ~ - - - _
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~ Deci~ratio~ ot Domlcile and Citizenship ~3!2~1p {
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~ TO YHE STATE AND COUNTY TAX 'A5SESSOR,
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~ ST, IUCIE COUNTY~ fLdRiDA: , ~
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~ This is my declaration of Domicile and Citizenship in the Sibte of Florida that 1 em filing this day ln actotdante and ~
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` in conformity with Chapter ~22, Section 222,17, Florida Statutes. ~
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. . Blbomf ie].d.~ New Jersey • ~
; 1 was formerly a tegal resident of
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•111 ~11ton Street
~ and 1 ~ealded at _ . Howevar 1 have thnnged my domlcJie ~
($treet and Number) '
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` to and arm and have been a bona fide ~e:ident of ihe State o4 Florida since ~d day of
• Port St.Lucie
` 64 748 ~1 '1'u~ Street .
i~ October , 1q , and I reside at ~
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. FQRT PIERCE, SAINT LUCIE COUNTY~ ~LORIDA ~
: arsd this statement is to ba taken as my declaration of citizenship, actual Iegal residance and domicile in the State of Horida.
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~ (Insert here any pertinent facts, such as sale'of property or businas:, or relinquishment of employment
? ~ at former domicile, remova) of family to new domicile, purchase of home, etc.) .
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nd a 1 in~ for homestead ~
~stablishzng residency a pp y ~
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;•'1~ , . ~ c~a1~~!~ ~~OK . . - .
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~ ' 965 JAt~ ~ AM 9: ~+6 ~ ~ f;~<. ~
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; ~,.!•'(.,»~:,...:~t~-,, ROGER POIYRAS.~~RIDA ~ f ~ ~
; ~ ~ y CIE COUN1~. f LO r - - . ,
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~ 't~h~~•'~ . ~ ' ~ . ~ ~ MIM~M~~
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~ ~ i FURTHER CERTIFY that I wil) compty with all ather requiremenh of a legei rastden4 af thls Stete. ~
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~ I FURTHER CERTIFY that I have no intention to- ~eturn to my fo~me~ domi~ile, and 1 intend 4o remain in FORT fi
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` PIERCE, SAI(d~T LUCIE COUNTY, fLORIDA, perman~ntly. ' .
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~ ' ; • . ~ . . (Na e) ~
~ . ' : . ; " J hn J~ Vogel . ~
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f t Swom to and :ubsuibed bafore me this 4th day of J~uary ;
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RO~iER POITRAS - ~
F : K CIRCUIT COURT Notery Publk 1
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~ $ gy D.C. My Commi:siori expires j
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~ (To 1» ~x~cutsd in duplicat~ and original Alod whh Clsric CiPa+~t Court, ai+d duptis~ts whh Tax AtMaora i
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