HomeMy WebLinkAbout0800 Declaration ot Don~icile and Citlsenship
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. lUC1E COUNTY, FIORIDA: c~'3'~'~5
This is my decla~ation of Oomicile a~d Citizenship in the State of Florida that 1 am fiiing this day in ectordance and
in conformity with Chapter 222, Sectio~ 222.17, Flo~ida Statutes.
I was forme~ly a le~al ~esident of _.WaSh1t7~0O _~_3~_ D?C~ _
(Ciry) (State)
nnd 1 resided at 170$_ gg~_St~.~tS-~ _ However I have changed my domiCile
(Sireet and Number)
to and am and have been a bona fide resident of the State of Florida since 1St day of
__p~tober 19 65 , and I resids at 119 Garden Ave.
(Street and Number)
~ORT PIERCE, SAINT LUClE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citi2enship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removaf of family to new domicile, purchase of home, etc.)
Applyi~~ for homestead
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, 1 FURTHER CERTIFY that 1 will oomply with all other requirements ot a legal resident of this State.
I
~ I FURTHER CER7IFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
` PIERCE, SAINT LUCtE COUNTY, FLORIDA, permanently.
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~ , j_, `•1 + ~ ~ (Name)
~ ' George Thomas Grady
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•5woKt t~~~ni!`subscribed before me this 9tb day of ~rCh 19 66
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•11•.~ '
ROGER POITRAS
LERIC CtRCU1T URT Notary Public
f ~~F~~ ~
~Y D.C. My Commission expires
(To b~ ~xewtad in duplicaM arN! o?ipinsl filed with Cl~rlc Grwit Cour~, snd duplitst~ with Tsx Ass~stor.)
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~ doox140 197
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