HomeMy WebLinkAbout2896 ~eclaration ot Oon~icile a~d Citlz~~ship ~
151285
TO TH~ STATE AND COUNTY TAX ASSESSOR,
Si . tUCIE COUN?Y, FIOitIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filinq this day in acoordanos and
in oo~~formity with Chapter 222, Section 222.17. Florida Statutes. ~
I was fo~merly a legal res~de~r of DBTROIT , l~QCN _
(C~ty) (State)
and 1 resided at ~~6200 ~eavCYland ~~,,,ever 1 have changed my domic~le
(Street and Number) -
18th
to and am a~d have been a bona fide resident of the State of Florida since ~ day of
July ,.19 66 ~ a~ ~ reside at 1172 S. B. Ladner St .
(Street and Number)
FORT MERCE, SAINT LUCIE COUNTY, RORIDA
and ihis statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Horida.
(Insert here any pertinent facts, such as sale of R::,µ.'rty or busi~eu, or relinquishment of employment
at former domicile, remo4al of family to new domicile, purthase of home, etc.)
FILING FOR HOMESTBAD PURPOSES - -
fl~0 AND RECO ~ a
- ST. WE{E COUNTY.~ °
~ AECORD VEp~~~
Zg ~ I 1: 1 ~151285 ~
'66 OEC d~~~ -
~~~~~POITRAS
,I ROGER
~ ~ c~.ERK CIRCU17 COU~T
~
1 FURTHER CERTIFY that I will aomply with all other requirements of a legal resident of thls State.
I FURTHER CERTIFY ihat t have no intention to ret~m to my former domic,ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. . _
w
;;~::utitrr; (Narrie)
j ~ ~ ~
..,-GV, ' C~ ~~~i'
~ JAJr4:S BARLOW
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f...~...,,.,G.p'~s'~:,
:-~c.~;~~'~l~
. r*'r;"-
' . G~
~ z ~ ~ (Address)
't~i~"~rJ''•.1":' p ~ ~ = , i .
p~ I ? F7l~ ~ ~
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" t ~ ' 29th DfiCEMB&R 66
=:s:8~ri?jd~~'s~bscribed before me this day of , 19
~ ! . - . -
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~..1 I ~~~~=.s~~~~ ~t
~~rIC,~E ~v r.
~ ° RO~iER PO
CIERK RCUI OURT ~!~tary Public
c
gy D.C. My Comm~ssion expires
(To b~ ~x~art~d duplicah and oripinal filid witb Cl~rk Cirwif Courf, snd dupli~at~ with Tax As~ssor.)
~oac162 ~ 493 .
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