HomeMy WebLinkAbout0388 Declaration ot DomiCile and Citisenship ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E ~OUNTY, FIORIDA:
This is my declaration of Domicile and ~itize~ship i~ the State of Florida that 1 am filing this day in aaordante and
~n conformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
New Jerseq
I was formerly a legal resident of -~10StP„~_ -
(City) (StaM)
22 Fairview
and I resided at However 1 have changed my domi~ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 12th day of
December 65 141 Princess Dr. Port St_Lucie
_ , 19 and I reside at
(Strest and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this stateme~t is to be taken as my declaration of citizenship, actual legal residence and domicile in the State 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.)
Applying for homestead ~ FILED AND RECOR
n~. . . o~o
900K
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. 66 ~ I ~ ~0 ~ ~ T
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~~3 Q' R ST R PGfTri.~~ CIERK
LUCIE ~ ,
i - ` ' - COUNTy
' lORIOA
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1 FURTHER CERTIFY that 1 will oomply with all other requirementt of a legal resident of this State.
~ I fURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORI~A, permanently.
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.,~:~c^. ;~~Sri6rr1 ft3 and subscribed before me this 1St day of ~rCh , 19...6.(s_•
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ROGER PORRAS
CLERK CIRCUIT COURT Notary Public ,
By ~t''~'G D.C. My Commission expires
~ (To b~ ~x~cut~d in dupliut~ and ori~inal Bl~d with CIKk Grwit Court, and duplicah with Tsx AtMaor.)
eomc 139 ~85
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