HomeMy WebLinkAbout1202 O~als~atio~ ot Domlcil~ and Citis~nship 152306
TO THE STATE AND COUNIY TAX ASSESSOR,
51. IUCIE COUNTY, FIORIDA:
This is my declantion of Domicile and Citizenship in tM Stat~ of Horida that I am filirq thit day in aooordano~ and
in aonformity with Chapter 22Z. Settion Z22.17, Florida Statut~s. _
I was formerly-a legal rosident of WayCtOSS Georgia
tCity) (St~»)
Oak Rodge
end 1 resided at 600 6aib~idge Dr ive .~~K i~~ ~,,,r,~d my ~onnw~e
(Stnet and Number)
ro and am and hsve been a bona fide rosident of the St~te of Flaida sinos 19th d~y of
January , 19 a~ ~ 2916 Oleander Blvd,,
(Street and Number)
fORT PIE~'e, SAINT LtIC1E COUNTY, RORlDA
and this statement i: to be taken as my dedaration of citiunship, ectusl Ispei ~esidena a~d domidls in the State of Fiorida.
pnae~t here any pertinent fads, :uch as sale of properry or businsss, or tefinqui~ms~t of employm~nt
at former domicile, romoval of family to new domidle, purchsse of home, etc.) _
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Bstablishing residence
1
Will apply for Homestead ~IL~p A
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I FURTHER CERTIFY that 1 wiil aomply with ali other r~quirements of a lepaf restdent of tht: State. ~
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I FURTHER CERTIFY thst I have no intention to retum to my former domicile, and I intend to remain in FORT
PIERCE, SAINT LUCtE COUNTY, FLORIDA, permanently.
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to'~iiid•subscribed before me this 30th ~y ~ JAnaurq ~q 6? ~
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ROG~ PORRAS
C~~~ ~ Notary Public
cl,.~•E.li~i
gy D.C. My Commission expires
(To b~ uc~aM~d ie d~plicaN and oei~inal Hl~d wilb Ci~rlc praiM Cowf, and dupiiat~ wUb Tavc A~o~a
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