HomeMy WebLinkAbout0401
Jo!i' 57 I"~ 398
Declaration of ~ft-f?~P
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TO THE STATE AND COUNTY TAX ASSESSOR.
ST. LliCIE COUNTY. Jo'LORIDA:
This is my declaration of DoT:liclle and Citizenahlp 10 the State cf Florida tMt I am tlUq tbis day i'\ aceord&nee
and in conformity with Chapter 222. Section 222.17. Florlck Statutef,
( WIIS formerly ~ legal resident of
Salem
( City)
"
J.iass.
State
an,) I reshle,I at
21 'f[i11iams Street
(Strcf:t and Number)
20th
_ day of
However. I have chanae<t my domlcl!e
to 1I1l'! nm and hRve been a bona fide Tesiuent of the State' of Florida since
May
(2
19 . , and I realde at
135 Naranja Ave.
(Steel and Nt!mber)
FORT PIERCE, SAINT LUCIE COUNTY. FLORIDA,
lnu thi;; statement is to be taken as my declaration of cltiHIIship, actuallelral rea!(I,ence and domJeUe in the State of Florida.
(Insert here any pertinent facts, such as sale of property or bl.l.lnea, or relinquishment of employment
at fonner domicIle, removal of family \i) new domicle, purchase of home, ete.~
App1yin6 for ho~estead
11.3401.
FILED AND RECORDf.D
IN~_.~OOK
19&3FEB22 PM \:7.2
ROGER POITRAS, CLERK
81. lUCIE COUIITY'~Og~
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I FURTHER CERTIFY that I will register at my loeal addres, whan the reaiatration book! reopen. and comply
with all ether requirements of a legal resident of thil State.
I FURTHER CERTIFY that I have no intention to return to [I1Y fOrDIdI' domlclk, &nd I intend to remain in
FORT PIERCE. SAINT LUCIE COUNTY,
FLORIDA, ..".:n..~. . }j .~~
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Henry D. avery .
(Addrese)
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.'wo:'n to :\nu sU 5cn e e ore me J ~....._..-.~.:~.. ." L~
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ROGER POITRAS . .'....~ 1-", :';' '. . ;-:'."~ \~J~ :
CljERK CIRCUIT COUnT " .'.: ~ .;.~.6."l '. :>iI./' ~.,-
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(Tv he exe<uted In duplicate and orlrlnal flied ~fth..~" ClrCU1t Court, aall dupliute wiUa Tn ~)
63
Feb.
,19
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