HomeMy WebLinkAbout0358 Declaratio~ ot Domicile and Citize~ship _
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TO THE STATE AND COUNTY TAX ASSESSOR. 143~'71
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I,am filing this day in acoordanoe and
~n conformiy wifh Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal re:~de~r of Walkerton Ind.
~Ci1y~ (State) ~
and 1 resided at Rt 3____ _ However I have changed my domiCile
(Street and Number)
to and am and have bee~ a bona fide resident of the State of Florida si~ce ___-____atb--_--. day of
December 65 2411 North 44th Street
19----, and I reside at
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA '
and this statement is to be taken as my declaration of citizenship, actuat legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or retinquishment of employment
at former domicile~ removal of family to new domicile, purthase of home, etc.)
Applying for homestead
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I FURTHER CERTIFY that I will comply with al) other requirements of a legal reside~t of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic.ile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permane~tly_
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~ 'si!.~:~ '~j','; Peter ~Aa~~Ulimin
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~ - ~~Gti , lst ~arch 66
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~ Sii~~tn ~to?'~nd subxribed before me this day of , 19 .
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Ri~GER POITRAS _
CIRCUIT C URT Notary Public
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~ B D.C. My ~ommission expires
(To b~ ~x~cu?~d in duplicat~ and oripinal Atsd with Geric Grcuit Courf, and duplieah with Tax Aa~or.)
~ - aooK 139 355.
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