HomeMy WebLinkAbout0504 D~claration ot Domicile n 1 ~
a d Cit s~n~hip
.
TO THE STATE ANO COUNTY TAX ASSESSOR, .151,832
ST. LUCIE ~OUNTY, fIORIDA;
This is my decla~ation of Domicile and Gitizen:hip in ths Stete of Florida that ! am filirp thi: day in aaoo~da~os and
in canformiy with, ChaptK 222, Section 222,17, Florida Statutes.
i Wa: wrrne~~y a~~ai ~~~de~+r of H~xitt . _ 1~~iew Jeraey
, Kih~) ~Sta»)
and 1 resided at ~ver ROad . Hcw,evK 1 have-chanqsd my domidle
(Street and Number) ~
b and am and ha.ve been a bons fid~ resident of the Stats of Florida since - 2~th
~ October , 19 66 ~ a~ at ~ 221 Beach Ave.
(Shaet and Number)
lORT M~CE, SAiNT LNCIE COUNTY, RORI~A
and this statement is to be tak~n as my decia~atlon of dH~enship, ectual legal reticlenca and dorr~icils ln the State of Horida.
(Insert here any pertinent facts, such as sale of propehy or busineu, or rolinquishment of ~mploymeet _
at former domklls, remova! of family to new domicile, purchass of twrr~e, ett.)
Establishing residence • ~
_ _ _ _ . - FIl.Efl ANO REC~RO D ~ .
w,T ST. LUCIE C~UNi~YE~ '
Will apply for homeatead RECORD ER Q.
151832
'6? JAN I Z AM t I: 08
~~~a,r,,,,~c,~i
~ ROGER POt7RAS
CI.ERK CIRCUIT COURT
1 RJRTHER CE~tTIFlf that i wili aomply with sll other ~equirerr~ts of a lepal rosidsnt of ihis State.
t fURTHER CERTIFY fhat t have no intention ro return to my former domicjle, and 1 intsnd to remain in FORT
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PtERCE~,S~M„~Yil~l~'COUNTY, FLORIDA, permanently.
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=Sworn to and wbscribed befom me this 12th ~y of _TanaurY 19~.
ROOER ~OITRAS
~ Notary PuWic
~
8y Q'~''~''L ~ D.C. My Gommiunon expiros
(Ti 1~ ~x~arl~d ia d~eaN and ~ fi1~d whM C~k Gnarf! Carr~, and duplip~ wilb Taoc AsNwe~a
; a~K 164 ~ 502
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