HomeMy WebLinkAbout0026 1.4a
-122333 :
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necla~atlon ot Domicile and Cltizenship
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TO THE STATE AND COUNTY TAX ASSESSOR~
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ST. LUCIE COUNTY, FIORICA:
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Thi: is my declaration of Oomicile and Citizenship in ths State of Flo~ida that 1 am filin~ this day in ac~oordenoe end
;n oonformity with Chapter 222, Settion 222.17, Flaida Ststutes.
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Dietriat Heights Yas'Ylen4 ~ ~'~T~
! ws: formerly a le9ai rosidant of -
(City) (State) ~
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8700 E~ritt~a Dri~e r~~~~
and 1 residsd at How~ver i have changed my danidle f~
(Straet and Number)
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ro and sm end heve been a bona fide ~esident of the Stste of Florida since ~a~ day of
NoTembe]~' , 19 43, and 1 reside at Rt 2 BOZ 8745 I.ekewOOd Par]c ,~-f:
- (Street atxl Number)
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fOR: MERC~, SAIN? LUCIE COUNTY, FIORIDA
" and this statement is ro be taken as my deciaration of citizenship, sctual legal residenos and domidle in the State of Horida.
pnae~t here any pertinent facts, such as sale of property or business, or relinquishmant of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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~ppl~ing for homestead
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, ~•`~:~~~Cp~ie Propert~ i• is~ the a~me o! ~~F~ ~'1`
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: - ~ . l = ~ 1ohn a. P~aereen ( 9oa 4 ~~N ~ S ~ 7 .
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• 1 FURTHER CERTIFY thet 1 wif! regi:ter st my local addreu when the registration books reopen, and aomply with
all otF~ roquirements of a leyal resident of fhi: State.
1 FURTHER CERTIFY that 1 have no intention b retum to my former domic,ile, and 1 intend to mmain in FORT
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PIERCE, SAINT U1CIE COUNTY, FLORIDA, permanentiy. -
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• E. Y. Psderaen
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~ JohnB. PdQ~F~b~n ~
Sw~orn b and wbsaibsd befors me this la~ day of 'Ts~~ , 19
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ROGER rORRAS - ta = ' + :
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CIRCUIT ; ~ t Notary~ ~i~lk: -
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~ R. b..«.artia iw a~p~c.f. a~a eri~rnal Af.a witb a.rk a~a+i[•cowf: •'dupli~at. wHh Tax As..aora
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