HomeMy WebLinkAbout1840 ~ 1.~.~( • ~E~
Declaration ot Domicile and Citizenship ~
TU THE STATE AND COUNTY TAX ASSESSOR,
Sl. WCIE COUNTY; FLORIUA:
This is my declaration of Domici~e and Citizenship in the State of Flo~ida that I am filing this day in accordance and
in conformity with Chapter 222. Section 222.17, Florida Statutes.
I was former~y a legal resident of _BROOICLYN _ _ __N. Y. _ _
~C;~y~ (State)
320 Baimbridge St. . Howeve~ I have chan ed m domitilc
and I resided at - - - _ - - - - 9 Y
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ 1St day of
_ August_ ~q65. , and I reside at 619 Dundas Crt.
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FIORIDA
and this statement is to be taken as my declaration of citizenship, 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, removal of family to new domicile, purchase of home, etc.)
FILING FOR HOMESTEAD PURPOSfiS
, :
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' G FI REC RDE~
. ' %G~.;'~
; t~s_ 900K
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~ = _ '66 MAR 30- PM 3 : 03
` ~`~~i
f `J`',i.• ROGE ~ 14;~: y~' C~ERK -
~ ~ ST. LUCiE COUNTY.
FLORI~A
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I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiule, and I intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently. .
~~,.''t~+::(I`n~l,~, ~
- '•i,
~ (Name)
- ;
_ ~
- - ~ = AUDREY Mq,E JENKINS
-l-- - ~ ' -
i,:: . ~ - . _
` ~ : ~ :
- ~ ,
~ - " ' .i :
~ (Address)
. : t .
~ 30th March 66
~ ~'-Swqrn to and subscribed before me this day of , 19 . i
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~ ROGER POIT S
~ CLERK RCU OURT Notary Public
`
~ gy D.C. My Commission expires
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~ (To be execut in duplicate snd originsl ~iled with Clerk Grcuit Court, and dupliate with Tax Assesior.)
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gooK 142 ~ 36 ~
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