HomeMy WebLinkAbout0277 ~
_ ~~clar~tio~ ot T~oor~icile ~n~ Gitiz~nship
TO TNE STATE AND COUNTY TAX ASSESSOR, ~
Sl. IUCIE COUNTY, fIORIDA: Ut~~
This is my declaration of Domicile and Citizenship in fhe State of Florida that 1 am filing this ciay in accordante and ~
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in conformity with Chapter 222, Section 222.17, Florida Statutes.
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I was formerly a legal resident of -_-_-..__Ga1Qi1fL-_~3.tj5- _--~g~{~S
(City) (State) •
1104 Second St
and I resided at . However t have changed my domi~+le j
(Street and Number) ~
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to and am and have been a bona fide resident of the State oF Florida since __15t21 day of !
D~cer~ber ~q_ 65and I reside at __2201 Elizabeth Ay~.
~ (Street aRd Number) ~
FORT PlERCE, SAINT LUCIE COUNTY, FLORlDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. {
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(Insert here any pertinent facts, such as sale af property or business, or reiinquishment of employment ~
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at former domicile, removal of family to new domicile, purchase of home, etc.) !
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Establishing residency and entering children in school ~
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3 of them in t.he White City school
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1 FURTHER CERTIFY that 1 will comply with all other requi~ements of a legal resident of this State. ~
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I FURTHER CERTIFY ihat I have no intention to return to my former domi~+le, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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. . (Name)
~ ` - Mrs. John E McDaniel
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''.•~~r~~~atr~~p!~'cl subscribed before me this 3rd day of Januaxy ~~q 65 , '
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ROGER POiTRAS
C K CiR+CU1T COURT Nfltary Public
8Y D.C. My Commission expires
(To be executed in duplicata and origina) filed wJth Cle~k Circuit Court, snd duAlicate with Tax Assessor.)
. ~ooK 135 2`77 ~