HomeMy WebLinkAbout0502 ~tcla~atlo~ ot Domlclis and Citls~nship ~
TO THE STATE AND COUNTY TAX A.SSESSOR, ~L S~.Ba.~O
51. U/CtE COUNTY, FLORIOA: _ _
Thii is my daclaration of Oomicile and Citizenship in the State of Ftorida that 1 atn filirp this day ln aooo?dar~os a~d
i~ canformity with ChaptK 2Z2, Settio~ 222.17, Florida Statutet.
1 was formKly a i~al resident of pittsbn2g p~
(Ciy) (Sta»)
end 1 nsid~d at 2629 Center ~reet . Flov,r~ver 1 have chan~sd my domidis
(Strett and Number) .
ro and ~m and hsve be~n a bona fide resident of the Stste of Ftorida sirxe day of
3eptenbeY' ~9 and 1 reside at 2503 South 1l~t,h ats'sst
(Stre~t and Numb~r)
~ n~, s~u~ ~ucu~ cou~nr, aoaow `
and fhi: statement is ro be take~ as my declaration of citizenship, actual lagal ~esidence snd domicile in the Stete of Horid~.
pnsert here ar~y peMir~ent fsds, such as sale of propeNy or business, or relinqui~hment of ~mployment
at former domicite, mmovei of family ro new domidle, purchase of horns, etc.)
Eatabliahing reaidence and xill ap~ply !or hamestead ~
F~~~ AND RECORO p .
_ _ ST. LUCIE CpU
RECOR~ VER~. F~ .
E~
'~T 1SI~0
~ 2 A~1 I 1: O1
C~ERK
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RCU ~rR'°S
rt co~R~
1 FURTHER CERTIFY that 1 will oompiy with a!1 other roqvlrerrNnb of a le~al residant of this State.
1 FURTHER CERTIFY that 1 have no intention to return to my former domicjie, and 1 intend to remsin in FORT
PIERCE. SAINT LIICIE COUNTY, FLORIDA, permanently.
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GrC ~~,ar~d''wbscribsd before me this 12th dar Janaulq 19~
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ROOER lOIiRAS ,
CIRCUIT CONRT Notary Public
B ~'G ~~1~ D.C. My Cornmiuion expires
(T~ i» ~oaa/~d-~ drpliata aMd oeioi~+ai fiMd wNh Ci~k Gina~if Cwet, ae~d drpikaN wilh Tax A~~e~a
~~K164 P~ 500
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