HomeMy WebLinkAbout0121Declaration' of Domicile and Citizsnahip
TO THE STATE AND COUNTY TAX ASSESSOR, ~ou~ 25 X121
$t . Lucie COUNTY, FLORIDA:
ST, LUCIE COUNTY. FLA.
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This is my declaration of Domkile and Citizenship in the State of Florida that I am fiTinq'fhis day in acaordartce,
and in conformity with Chapter 222, Section 222.17, Florida. Statutes.
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1 wa: formerly a legal residsnt~of .--~'---$O.~~II$_Gtl~_________ __---.-___-, --~Sentucky_-- _----
ttlty) (Stt.) ~
and I resided at- _ _ -1112 Fg;3~ _13-th_~tr~e ~~. -- _ _ -- _ _ - _ _ -- --_ _ - . However, I haw dsart~sd my domicile
(5tn.t .~d tiwRbu) -
to and am and have been a bona fide resident of the State of Florida sinos_ _ _ _ 24_ - _ _ _ _ _ _ _ . _ -_ _- ._ _ _ _ _ _ _day of
_ November - - , t9 . _ ~ artd 1 reside at 10$ N,_ ~9t.~1~St1"~@t--- -------------
Fort Pierce gt. Lucie - -
---• ------ ----- - - - - --- ~ntY• Florida,
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida.
(Inaut twa any pa.tirrnt facts, suds as a~ta of proparq a bwLnaa, a ~ d ampbynwM at to.Rnr domidM,
raRaval of family to nave domidM, purd.aaa d tams, etc)
Applying for homestead
. • ' ; :;,
lpp9~~
. ~p ANO RECOR
~i~
1961 DEC t 4 AM 10~ 49
ROGER POITRAS. q~ItK
ST. LUCIE COUNTT. f10810A ~/
Q
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.' ~ ~ ..
•~; ~~
I FURTHER CERTIFY thet I will register at my Ixal address when the registration books reopen, end comply with
all other requirements of a legal resident of this State.
I FURTHER CERTIFY tnat I have no intention to raturn to my former domicile, and 1 intend to remain in_- ___
Fort Pierces
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ttiryrl
permanently.
----_---- -St,__Lucie _______._--. _ County Florida,
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- - - - - (N«Ra)
% Lige Ford
Sworn to and subscribed before me this - ~- _ _ _ _ _ _ day of _ _ _ _ _ _ _ -_ _ D@4 ~bSfT -. _ _ _ _ _ _ _ _ _ - , 19 _ _61
Roger Poitras, Clerk
rRlOGJER-POI ,CLERK CIRCUIT COURT Notsry Public
BY ---.~~-- -~----------- D.C. My Commission expires -- ---- -------------------- -
Rs M ~sacab~ V ~tkw aA+ arieiwal HW ~riM tyaek C6sdt GoA, aa~ ~Ne+M wilU ?a[ Aaaawa.y
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