HomeMy WebLinkAbout0482
to nn.) nm and hJ\ve been a bona !ide resident eyf the State of Florida since
9th
Port St.Lucie
day of
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Dec1ar&tion ~ _~S~p
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TO TIlJ.o~ STATE AND COUNTY TAX ASSESSOR,
ST. LuCIE COUNTY, FLORIDA;
This is my declaration of Domicile and Citiunship in the State of Florida tbet I am filinir this day in accordance
,
ami In ;:onformity with Chapter ?.22, Section 222.17, Florida Statutes.
..
(City)
Illinois
s ta t.e
I was formerly a l~i.l :e6ident of
Urbana
an..} I Tl'3id",.1 at
50? 'I'iest Vermont St.
(Street and Nurr.ber)
However, I have chanied my domicile
Se.t>tember
19
82and I re~ide 8t131 Castana CourL__
(Steet and Number)
PORT PIERCE, SAINT LUCIE COUNTY, FLORIDA.
llllll thi:! :!tatemcnt i~ to be taken as my declaration of dthenship, actual legal residence and domicile in the Etate of }o'lorida.
(In~ert here Rny pertinent facts, such as sale of property or busineas, or relinquishment of employment
at fonn~r domiclle, removal of family t.> new domie1e, purcha&e of bome, etc,)
Applying for homestead
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I FURTHER CERTIFY that I witl register at my local address when the regi!mtion books reopen, and cvm~ly
with all other rC-juirements of a legal resident of this State,
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
, r;;? ~V< r/,
Eliaabeth C.
. C . H --<'<'---VL-L (.~
(Name)
Humes
(AddlesS)
~;worn to anr' ,ub5dibed before me this
25
day of ....---...-!ebrnalY
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~>.}" -:",>3<:::. " ~. Notary Public
'"- ,. . .' '" 1
, 19
53
R'1GER POITRAS
CLERK CIRCUIT COURr
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D,C .~ 'I, Co<nrni-lon expirea
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(To be ex~,uted In duplicate and original ill~ with .C1er1i cinwt Coul't, and duplicate with Tn A.aaeMor)
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