HomeMy WebLinkAbout0797 DeClaration of Domicile and Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR, 1`~e3•~~~~~
Sl. lUC1E COUNTY, FLORIDA: ~
This is my declaration of Uomicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of _ _ _ ~rOA _ _ - _ - Oh10 _
(City) ' (State)
and I resided at 2109_ _ SOUth llth S~ri
.~et _ . However 1 have changed my domicile
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since 17th day of
~ecember_ 19 65 , and 1 reside ai 1018 Sunrise Blvd ~
(Street and Number)
fORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, adual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domiciie, removal of family to new domicile, purchase of home, etc.)
Applyinf for homestead
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F~~ a E ~ooK
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,,,t~~._.~:,: 9 P~ ~ ' y~ ~
~ ~ - '66 ~ 1434~'~2`ERK . ~
_ 'J : . ER ;~ci~~po~NTY~ ;
J'"' R~lST. ~UCIE pA ~
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~ FI~R'(HER CERTIFY that I will comply with al) other requirements of a legal resident of this State. ~
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I FURTHER CERTIFY that 1 have no intention to return to my former domitile, and I intend to remain in FORT '
PIERCE, SAINT W1C1~ COUNTY, FLORIDA, permanently.
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:
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: ~ ; ~ ' ' - . - lara Keyes Gage
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; ' (Address)
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Sworn to .and subscribed before me this 9th day of ~rCh ~ 19 66
ROGER POITRAS ~
CIRCUIT C RT Notary Public ~
_ c2~~..,c~ E
~.C. My Gommission expires
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(To b~ ~x~cuhd in duplicat~ snd ori~inal filsd with G~rlc Circuit Courf, and duplica» with Tax Ass~stor.) _
gooK 140 ~ 194 ~
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