HomeMy WebLinkAbout2592Declaration of Domicile and CitizQe~ahip /c
TO THE STATE ANO COUNTY TAX ASSESSOR, 8b91I ~v tACE 4~1
Stl; Lucie ~~, FIORIp/~ ~ ST. LUCIE CQUNtr~ ALA.
-- - __.__.....-r..:._ . .
This is my dedaration of Domklle and CNinanship in the State of Florkla that I am filirp this day in aaoordanoe and
- in oonformlty with Chapter 222, Section 222.17, Florida Statutes.
- -~ ~ V ro Beach
1-was formerly a Ipal resident of______------ ~ _--- -----------------------. ___-- Florida-------
taM tt+~aat
and 1 resided at ___-- 2~}1_ Di~de_Hi~jitg~ ------------• However, i Mw dtargd my domcile
~• t3kaaf and Mw+~ -----------
to and am and have been a bona fide resident of the State of Florida sinoe____________~__ ___ day of
--- ~~b~---------------------------• 19__~l, and I reslde-at ----1,1].~_S~manl_ As.~nua----
- Rh..t and t+hwwbar)
---Ft~t-p~.ET-CQ--------------------------- --------------- County, Florida,
(cny)
and this statement is to be taken as my declaration of dtizenship, actual ieyal residence and domicile.ln the State of Florida.
Oa•••~ hen any pertinent facts, wd~ p wla of propaity a busMww,, a ral6qubtMnanf of Nnploymanf of fonnw daniglp
remove) cis femiy ro new danidle, purd~ae of hang. MeJ
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102308
Applying for homestead ~ ..
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with all
other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
permatleatly:' ~ + , '•' : Q -y (City) -- -- _
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Sworn to,and subs¢rlbed before me this ___ ___.24__--_ _
~RQGER Po ~ ,~cL~RK CIRCUIT COURT
BY --- ---~-.~- - D.C.
County, Floride,
Alfred J. Sorensen
-- . - -- -- ----- -- --- ---~i ----------- -----
(/-ddrea)
-- day of --- - - ---Je~»~ -- - - 19-- 62
Notary Public
My Commission expires _ -
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