HomeMy WebLinkAbout1889 Declaration of tiomicil~ and Citizenship ~
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TU THE STATE AND COUNTY TAX A~SESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is n~y declaration of Domicile and Citizenship in the State of Florida that I am fil~ng this day in accordance and
in conformity with Chapter 222, Section 222.17, F!orida Statutes
I was formerly a legal resident of ~~QN . - N•X=--_--
!City) (Staie)
and I resided at 62 nernc~n LV6• Nowever i have changed my domiCile
(Street and Numberl
to and am and have been a~ona fide resident ot the State of Florida since ~St _ day of
_~~u~ , 1965 , and I reside at ~llt Holley ~~'eo_---- _
(Street and Number)
FS~RF PIERCE, 5AINT LUCIE COUN7Y, FLORIDA
and this statement is to be taken as my declaration of cit~zenship, actual leg~l residence and domicile in ths St~te of Florida.
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(Insert here any pertinent facts: such as sale of property or business, or relinquishment of employment
at former domicile, rernoval of family ta new d~micile, purchase of home, etc.)
FIIL IN G FC} R 1!!~ HQMESTEAD PU ~ SES '
` F(l:~p AhaD RECORDOOK
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EC 22 PM Z: 57
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~LO~IGA
I FURTHER CERTIFY that I vvill comply ~r•ith all other requirernents of a legal resident of this State.
! FURTHER CERTIFY that f have no intent;on to return t~~ rny former domi~i!e, and I intend t,remain in FORT
`PIERCE, SAINT LUCIE COUNiY, FLORIDA, permanentiy. / .
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' ' . , , (Name1
_ r . . ~ - - '~dILSON H . GI FdQD
~ ~r _ 3
' (Address)
,h: ` _ 't`lr..
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Swom to and subscribed before me this ?~nd____ _ clay of __~C~ibel' 19 _
ROGER POIT~tAS - -
CIER CIR U T COURT Notary Pub~ic
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By _ _ D.C. My Commission expires
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(To be exec ed in duplicat~ ~nd original filed with Clerk Circuit ~Court, and dupticate with Tax Ass~ssar.) ~
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