HomeMy WebLinkAbout0275 ~a~lar~tic~n ot ~omicile ~nd ~i#Ize~shi~ ~
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TO 7H~ STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is rny declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222. T 7, Florida Statutes.
I was formerly a lega! resident of S'`Zt~Ori W@8t V~Y`~~21~g
(City) (State)
N. Hill Street -
and 1 resided at . However I have changed my domi4ile
(Street and Number)
to and am and havs been a bona fide resident of the State of Florida since ____._.______1.~~________, day of
~gY 6~ 1529 Ihumb Point Drive
14---_, and I ~eside at
(Street and Number)
FORT PIERCE, SAINT LUCiE COUPITY~ FtORIDA
and this statement is !o be taken as my declaraiion of citizenship, actuat legal residence and domicile in ihe State of Florida_
(Insert here any pertinent facis, such as sale of property or business, or relinquishment of empfoyment
ai former domicile, removal of family to new domicile, purchase of home, etc.)
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~I l~1C~Q~ECQRDED ~
IN_. ~Q~ BOOK
a o~-l`~G~~
Establighitg residence '66 JA~~ 3 Q~ : 33
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~ . ~ RUG~tt rC:1 ,1;~~7. C~ERK
E ~ ~ST. LUG1~ C~U3JTY,
. r~'1 ~ FLORlDA
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I FURTHER CERTIFY that I will comply with all ather requirements of a lega) resident of this State.
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' I FURTHER CERTIFY that I have no intention to return to my forme~ omiCile, and 1 inten to remain in FORT
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; PIF.~rF, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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~ ` ~ ~ (Name)
~ . • ~ ~arl F. Sommer
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, - ~ ~ , ~ (Address)
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~ ~3wores: ~aricl~3utiscrif~ed,6efare me this 8riu8Y'
~ .ti; - 3 day of _ J Y , lq 66
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i RC?GER POITRAS
CLERK CI UIT COURT Notary Public
By D.C. My Commission expires
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(To be executed i~ dupiicate and originat fited with Cterk Circuit Court, and dupl+cate wit~ Tax Assessor.)
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