HomeMy WebLinkAbout0244 Declaration o! Domicfle and Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNN, F~oR~oA: 1430~~
This is my declaration of Oomicile and Citize~ship in the State of Florida that 1 am filing this day in accordance and
~n m~formity with Chapter 22~, Section 222.17, Ftorida Statutes.
Newark New Jerseq,
I was fo~merly a legal resident of
(City) (StaM)
and 1 ~esided at _ 38 __M~lf Ord AvC • However I have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the Stste of Florida since 1St day of
September _ , 19_65~ and I reside at 707 Np..rth 1 ct
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIOA
and this statement is to be taken as my decla~atio~ of citizenship, actual legal residence and domicile in the Staro of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Applqing for homestead -
~ji,~~. _ ~N~~ - , ND RECOROED
' . - . B O OK
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. ROGER P~iTRas. CLERK -
.
~T. LUCIE COUNTY
i ':_::~~!,ti~ti°~~ FLORIDA •
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I FURTHER GERTIFlf that 1 will comply with all other requirements of a legal resident of thia Stste.
I FURTHER CERTIFY that I have no intention to retum to my former domitile, and I intend to ~emain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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Ju vasquez
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~'~j,j`..~~~~~`~~~ 25th Februar
•~rtic;iSW'~n to and suburibed before me this day of y , 19-~~1
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ROGER PORRAS
CIRCUR COURT Notary Public
B D.C. My Commission expires
(To b~ ~x~cutsd in duplicat~ and ori~inal fil~d wHh CIKk Circuif Cou~, and duplicae~ with Tax Ass~aor.)
~ 139 241
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