HomeMy WebLinkAbout0786 Declaration ot Doericile and Citisenship ~
TO THE STATE AND COUNTY TAX ASSESSOR, 143~t~~7
Sl. lUC1E ~OUNTY, FLORIDA:
This is my declaration of ~omicile and Citizenship in the State of Florida that I am filing this day in aaordance and
im m~formity with Chapter ?22, Sectior. 222.17, Florida Statutes.
I was formerly a legal resident of ___Rt10XVille__!_______________ T nn -ssee _
~C;ty~ (State)
and I resided at ~???2_ F 8 ir V lew However I have changed my domiCl~e
' ` (Street and Number)
to and am and have been a bona fide resident of the State of Florida since _~.Q~11- day of ~
_ March_ ~q_66 and I reside at - 203 S 31st Strect - p.0. Box 1053
(Street and Numbe~)
PORT PIERCE~ SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in the State of Florida.
(Inse~t here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) '
F~C~ND RECOROEO
HOMESTEAD i N--~
900K
'°s~ 9a~i:4s
143•'~~'7
ROGcR POc ~~RaS, CLERK
ST. LUCIE COUNTY.
FLORIDA i
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I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this St~te.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCI~ COUNTY, FLORIDA, permanently.
(Name) Truman . Tar le ~
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~'.5:?~~ y~ ; P. O. Boa 1053, Ft. Pierce, Fla.
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'';-i ~Z;-bii~idf~pafj~slr's~scribed before me this 9th day of MBtCh ,~q 66 ,
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j,,,~W~ •,~R~S
~ CLERK CIRCUIT COURT Notary Public
~ gy ' D.C. My Commission expires ~
~ Ro b~ ~xecut~d in duplicaf~ and oripinsl filsd wit1~ Cle~lc Circuit Courf, and duplica» with Tax Ass~ssor.)
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~ 8 oK140 ~83
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