HomeMy WebLinkAbout0389 Declaratian ot Domicile and Citisanship ~
TO THE STATE AND ~OUNTY TAX ASSESSOR, 143~~0
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citize~ship in the State of Florida that I am filing this day in atoo~danoe and
im m~formity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legat ~esident of _ C_~~~~-_ NP-.~-~:~Q-~----
~C;ty~ (State)
and 1 resided at 19 Alpin Drive However I have changed my domicile
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since 10~ day of
_ ~pe__ _ , i9~~, and I reside ar 1606 Binney Drive
(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 Fk~rida.
(Inse~t here any pertinent facts, such as sale of property or business, or relinquishment of empioyment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Applying for homestead
: ; ~c ~;'f~, ~N ~L N ECORDED
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° 'ss M~R I AM 10 . I 7
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ROGER POITr~4S, CLERK ~
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~ `'u; ` z9 ;~.R`' S1'• LUCtE COUNTY,
~ '~?;.:•:,~~:s~° FLORIDA
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1 FURTHER CERTIFY that I will comply with all other requirements of a legal resid~nt of thia State.
1 FURTHER CERTIFY thai I have no intention to return to my former domicjle, and 1 intend to remain in FORT
PIERCE.,S~(~~"LL~iE COUNTY, FLORIDA, permanently. ~
. ~..,t ~ = ~
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~a..s~G., ~ .~G .
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_ ~ ~ , . , ~ ~ (Name)
- Cha~ies Filasshione
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~ Sworn to and subxribed before me this lSt day of ~r Ch ~ 19 66
ROGER POiTR/15
CIRCUIT COURT Notary Public
~ By D.C. My Commission expires
(To b~ uc~cuhd in duplicat~ and ori~in~l fil~d witb CIKIc Cjrcuif Court, and duplicat~ wifb Tax AsMSSOr.)
gooK 139 386
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