HomeMy WebLinkAbout0228 ' Decla~at~o~ o~ oon~iciie and Citisenship 15i645
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA: : ~ ~
This is my declaration of ~omicile and Citi:enship in the State of Ftorida that I am filing this day in aoo~rdanos and
in conformity with Chapter 222, Section 222.17, Florida Statutes. ~ -
1 was formerly a legal resident of Hardwood Heights I11.
tCiy) (Sta»)
and 1 resided at 6718 Weet Spn; nr pt nr?~ . However i have chsrpsd my domidle
(Street and Numbe~) -
to and am and have been a bona fids resident of the State of Florida sinoe 15th day of
October , ~q 66 , a~ ~ ~ 781 Solaz Ave. F
(Street and Number) ~
fORT r1ERCE, SAINT LUCIE COUNTY, I~ORIDA
and this statement is to be taken as my daclaration of citizenship, actusl legal residence a~d domidle in ths State of Horids.
(Insen 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.)
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Applying for ~homestead
sr~ o RECOR .
fistablishing residence RECORp
yER~EO ay;
~l ~ 15I645
. ~ s ~ 2 ~ q3
C~RK C RClj~T
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I RIRTHER CERTIFY that I will oomply with all other roquirements of a(epal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domia~e, and i intend to remain in FORT
PiHtCE, SA~~f't:LUGE COUNTIf, FLORIDA, permanently.
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_ . ,..~''~Y~: . ~ Do ld D. Doremus
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~ '4'~~Yl • ~ . '
~ ' ..=~~;z~~-. =it~; . wife
s~ ~ . ~O . ~
- ' ~ ' Gertrude M.. Doremus
,~rt5wom~to`and subscribed.before me this 6th ~y af Tanaury ~q 67 ,
.
ROG~ PORRAS
_ CIRCUR COURT . Notsry Public
gy D.C. My Commiuion expires
(Te b~ ~c~M~d in d~piieat~ and ori~inal fil~d witb CIKk Ciradt Co~rt, snd dtt~liae~ wttk Ta~c As~or.)
. a~x164 ~ 227
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