HomeMy WebLinkAbout1593 ~
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~eci~rati~n ~f D~micilg anti ~itix~nship ~ ~
TO THE STATE AND COUNTY tAX ASSES:,OR, I
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S~ . lUC1E LOUNi Y, FtORi~A: ~
This is my declaration of Dornicile and Gitizenship in the State of Florida that I am filing this day in accordance and
in conformify with Chapter 222, Section 222.17, Flo?ida Statutes.
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. .
Ctlica o ~
I was formerly a legal resident of - ---_--~___~1riQ1S-_--
(City) (Stafe)
and t resided at ._.4443 NOrth _Ro_Ckwell_Stre~+t_______ However I havechanged my domi~ile '
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 23~d_ day of ;
~
December 65 ~
19---_, and I reside at .St_ar__R_t..T~zl~en Br_Flg+ ~
(Street and Number) ^
fBRT F~IERCE, SAINT WCiE COUt~lTY, FLORiDA
and this statement is to be taken as my declaration of citizenship, actuai legai residence and domicile in the State ot Florida.
!Insert here any pertinent facts, such as sale of properiy or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence '
~
REC_p aDED
~~~W---g00K ~
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~G~ 3
PL1 `
. ~y~'~::,. '~u FEB 2 ~~~i ~!0: 33 ~
~ •:....o~,-:, _142.,1_`r ~
. : .
~ le' ROvEFF ii,~S. CLE~tK • ~
Q'; ST. LUC(E COUNTY.
_ _ ~ 'f - FLORIDA
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( FURTHER CERTIFY that i wili comply with all other requirements of a legal resident of this State. ~
I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT ~
PIERCE, SAtNT LUCIE COUNTY, FLORIDA, permanently. ~ ~
~
- ~
: ~ " i.7'.:' ' ~~~'Z~~ ~ . .~~-4 ' C'~ i
. as. : ~
~ ~ ~ Andrew F ~N~"e) ~
, ` . . enninger ~
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.
- -
: ' (Address)
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~ . .
~ Swo?'n to and subscribed before me this 2nd day of ~ Fg~~ , 19~2_.
ROGER POITRAS
RK CIRCUIT COURT Notary Public
gy Z~-~ D.C. My Commission expires
(To be exe=uted in duplicate and original filed with Clerk Circuit Court, and dupliute with Tax Asses~r.)
BOOK~~7 _ `~07