HomeMy WebLinkAbout0305 O~claratton ot Domictl• and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sj. LUC'IE COUNTY, FLORIDA: . ~'LS~~S c
This is my declaration of Oomicile and Citisenship in the State of Florida thst I am f11in~ this day in acoorda~oe and
in cooformily with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was- formerly a legal ~esident of ST . JOSBPH 1~.
(City) (State)
and I ~esided at 3401 S. llth St ~~,,,erer ~ have chanqed my domk3le
~ (Sttaet and Number) -
ro and am and have been a bona fide res'ident of the State of florida :inoe - 12th day of
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June , 19 66 ~ a~ ~ resjde at 3189 I~+lorningside
- (Street and Number) ~
FORT N~. SAINT LUCIE COUNTY, RORIDA '
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and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domiale in fhe State of Horida.
(Insert here any pertinent facts, such as sale of or busineu, or relinquishment of employment
at former domicile, ~emoval of family to new icile, purchase of home, etc.)
FILING FOR HOMBSTBAD PURPQSES -
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RECO 1 VERII~I~ " ~ .
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'6T JAN 9 11: 3t
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- I RJRTHER~ CERTIFY thst I wtll oompiy witfi al) other raquirerr~ent: of a le~al ~esident of thi: State.
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I FURTHER CERTIFY that I have no infention to retum to my former domiGle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTIf, FLORIDA, permanently. _
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• . ^ ~ HAROLD BiJd'TBRF IBLD
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J~ ~"~.'q~E~ubsuibed before me this 9th day JSAUary , 19
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J `''S~',`'~DITRAS .
~~r,~. ~IRCUR Notary Public
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gy , - D.C. My Commiuion expires
tTo b~ ~x~cvhd in duplical~ and ori~inal Rl~d wi~h Clarlc qnuk Court, and duplicat~ wHh Tax A~or.) .
- ao~164 ~ 304
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