HomeMy WebLinkAbout2959 J~ ~
Cteciaratfon of Dorhicile ~nd Citizen~hip ~
132~15
TO THE STATE AND COUNTY TAX ASS~SSOR,~ ~ ~
ST. lUC1E COUNTY, FIORI~A: .
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This ia my declaratian of Oomicile and Citizenship in the State of Florid~ thaf I~m filtng thl: day in aocordansa and 1
in conformity with Chapter 222, S~ecllon 222.17, Florida Stetutes. ~
~ I was formerly a legai re5ident of Ngwark ' NeyL,,jersey
~ , (City) (State) , ~
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~ and i ~e:ided at 36 Pier Stt£l°t ~ . Nowever I hava ch~ngsd my dumlCile ~
! (Street and Number) ~
~ to and am and have baen a bona fide resident of the State of Florid~ since 10 day of ~
r~ ' August . 64 20? Rio Vista Drive
~ , 19 , and I restde at
(Stree~ and Number) . ~
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~ ~ORT PlE~CE, SAINT LUCIE C~UNTY, FLARIDA •
~ and this stetement ia to be taken as my declarotion of citizenship, actusl fegal ~esidence and domicile in the Stets of Flarids. '
f
t f (Inaert here any pertinent facts, such es sale of property or buainess, or ralin~quishment of employment
at former domisile, remova) of family 1o new domicile, purchase of home, etc.)
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~ - ~ Bstabl~shi~~ residen~e _ . ~ .0'~+, .
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~ ~ . ~ FILEO AND RECO ~ED . : o'~`:'; • , ~ ,
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~ IN ' ' r DOOK . ; . . . ;
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~ . 1965 JA~~ AM I0: ~;6 _ _
~ ROGER POi1'RAS, CtERK ~ i
~ • ST. Lt1CiE CQUNTY, FLORIDA j
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1 FURTHER CEitTIFY that I wlil comply with all other requlrements of e ieyai ~estdent of ffiis Stata. ~
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~ ~ ! FURTHER CERTlFY thafi ! have no intention b ~eturn to my former domi~ile, and 1 intend to romain tn FORT
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i Pi. ~~RiN(r ~l~Gl COUNTY, fLORiDA, pe~manentty. ~ ~
, ~ ` r~ . ~r~ - ~ ~ . ~ . .
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,i ~ e,~ . ~ - ..?L` [~c_ ~ i' ~E~VY~c-'G~.V'"~L.~£~~G ~ ~
.c ~ t~ W • . _ ~ ' .
~ ` , , . . A • : . . ~ (Name) i
, w~~~'r ~ ~ ; - ; ~ ' -
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~ `4 Rose Weisenbacher
~ ~~f''~?'... . ;
(Actdress) !
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_ Sv~roen to and subscribe~d bafore me thi: ~ day of ,jan.us~,v , 19_:_.b5 •
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R04ER POiTRAS ~ (
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RK ClRC COURT Notary Public ~
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~i ~Y D.G. !V?y Corr~mission expires
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(To b~ ~x~cut~d i~ dvpliu~t~ and ari~ina! f~lad w~il0~ tla~k Grc~i! Coe~et, T„~ A:..~a
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