HomeMy WebLinkAbout0226 ~eclaratio~ ot Domicil• and Citizenship 151643
TO THE STATE AND GOUNTY TAX ASSESSOR, ~
Sl. LIKIE COUNTY, FLORIDA:
Thia is my declaration of Domicils and Citizenship in ths State of Florida that I am filir.~ this dsy in aooordanos and
in oonformity with ~hapte~ 222, Section 222.17, Florida Statutes.
I was formerly a legal resident cf ~~aville K6.'ituclQ
~C;ty~ (Staro)
and 1 rosidad at 2~ ~~y D~~e ~ . However I have chsn~sd my domidle
, (Street and Numbe~)
~to-and am and have been a bona fide resident of the State af Florida since l~ day of
.t.,... , 19-.~ and i roside at ~9 Nort~h 3~+ atraet
- (Street and Number)
FORT r1ERCE, SAINT LUCIE COUNTY, RORIDA
a~d this :tateme~t is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert he~e 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.)
!
establishing residence and vill apEly for homestead ~ceaption _
~ F~~o ~D RECOROEO ~
ST. ~UCIE COUNTY~ FLA.
RECORO VERIFIEO
151643
I '6t JAN 6 PN I: 4S
~ .
~
• ii0i'iCR POITRAS
CIERK CIRCUIT COURT
i FURTHER ~HtTIFY lhat I wiil oomply with all other requiremenfs of a lsgal resident of this Sfate.
1 FURTHER CERTIFY ihat I have no intention to return to my former domidle, and I intend ito remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
.
,
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v: ...ti, : ~(N8R1@)
- ~ - : ~ $LChal~d . Flanig8II
: • -'.~';.,,y - , ~ _
.:n' ~ - -
i (add~
t • • . . . • • ~lice J. Flanigan
. ~ t; ~ ~~T
Sworn b~ dnd wbscrebed before me this day of J~ -
ROGER rO1TRAS
CfRW COURT Notary Public
g ~~-G D.~. My Commission expires
(Te b~ ~oacot~d in d~p~kaN and o~inal fil~d witb Cl~lc qnvil ~oue~, and dupliut~ wilh Tax A~s~sra
~~164 ~ 225
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