HomeMy WebLinkAbout0874 1_~~~'(~
[~eclaraticrn t~f Domicit~ ~nd Citiz~enship ~
TO THE STATE AND COUNTY TAX ASSESSOR,
S~. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State ~~f Florida that f am filing this day in accordance and
in conformify with Chapter 222, Section 222.17, Florida Statutes.
Erhenbur _ Arigona
I was formerly a legal resident of . _
(City) _ (State)
~rhenburg Trailer Par'_c hiowever I have chan ed m domicile
and I resided at - - - - • 9 Y
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ 20 y
- - - - - - da of
December 19__.. 6~nd ~ reside a~ ____1Z24 Raymond Avenue
- - ,
(Street and Num6er)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual fegal residence and domicile in ihe State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, rernoval of family to new damicile, purchase of home, etc.)
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- ~ntering Janice Schroeder in 8th Grade
- " Anna Ma.rie Schroeder in Sth Vrade
" Mary Louise Schroeder in Stti Grade
" 'Finna Lo~~ ise Sehroeder in lst Grade
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~I E~JRI'HE(~ C~RTIFY that I will comply with all other requirements of a legal resident of this State. €
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; I FURTHER CERTIFY that I have no intention to return to my former domi~ile, anJ I intend to remain in FORT t
# PiERCE, SAINT LUCIE COUNTY, FLORIDA, permarl~ntly. ~
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- • ~ (Name) 1
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Mrs. Charl~s Schroeder ~
4 , - , •S ~
~ w •i . (Address)
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Swom to and subscribed before me this 17 day of _ January ~ t9 66 ~
~
ROGER POITRAS
CLERK CI UIT COU T Notary Public
gy D.C. My Commission expires
(To be executed in duplicate and original filed with Clerk Circuit Court, and duplicate with Tsx 1~ssessor.) ~
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