HomeMy WebLinkAbout0549 Declaration ot Domicile and Citizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR. 143304
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Flo~ida that I am filing this day in acoordance a~d
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was fo~merly a legal resident of St a!pf O!d CO~` _
~~;ty~ (State)
and 1 resided at ____91 Stiawberry Hill Ave Apt _1029 Howeve~ 1 have changed my domic~le
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since x$~k 24th day of
December ~q65 , and I reside Rt 2 Box 2768 -10 Lakewood Pk _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citiienship, actual legal residence and domicile in the State of Horida.
(t~sert 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
. ; . ~NH- AN RECO OED
. . . , 900K
; ~ t ~ ' : ~ G~~
, 66 MAR 4 PH 2: 35
; ,
; , . : .
- , - OGER F'0' .
` ~ ; ~ ~ ' , 3~.~R
, A 1'~~'• K
, ST. LUCIE COUNTY
_
FLORIDA ~
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I FURTHER CERTIFY that 1 will oomply with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic.ile, and I intend to remain in FORT
PIER(F+~~IMT LUCIE COUNTY, FLORIDA, permanently_
, ~ : ~ . . - ~ i
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~ J ' : ~ . ` . (Name)
' ' ° Fred W. Thiel
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i•
~ . _ _
~ . - _ - ' (Address)
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~ ' Swom to and subscribed before me this 4th day of ~rCh , 1966
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ROGER POITRAS
CIRCUR COURT Notary Public
By ~ D.C. My Commission expires
~ (To be ~xscuted in dupliute snd original filed whh Cl~lc Cirwh Court, snd duplicat~ with Tax Ass~stor.)
dooK 139 546
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