HomeMy WebLinkAbout1677 Oecia~atio~ ot Oomicile and Citisenship
152606 i
TO THE STATE AND COUNTY TAX ASSESSOR,
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Sl. lUC1E COUNTY, FIORIDA: _ ~
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This is my detlaration of Domicile and Citizenship in ths State of Flo~ida that I am filin~ this day in aooordsnoe a~d ~
~n conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
I was formerly a legal ~esident of Warren Ohio ~
~~~ty~ (Staro)
and I resided at - 23? SCOtt St ieE t . However 1 hava than~ed my domiCile ~
(St~eet and Numl~er)
to and am and have bee~ a bona fide resident of the State of Florida since 8th day of
_ ~ctober , t9 66, and 1 r~ide at Ind. River ~=ourt
(Street and Number) ;
FORT PIERCE, SAINT LUCiE COUNTY, RORIOA
and this statement is to be taken as my declaration of citizenship, actual legal residents and domicile in the State of Horida.
(tnsert here any pe~tinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
Applying ior homestead ~
~ F~~O AND RECOROEO ~
ST. LUCIE COUIyT~r. R~ -
RECORD VERIFIEO '
'6l 15~6
, FEB 9 PM I: 18
:tO;,ER ;~OITRAg
CIERK CIRCUIT COURT
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I RIRTHER CERTIFY that I will comply with all other requirements of a(ege) resident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicile, end 1 intend to remain in fORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. l
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` • • ~ (Name) .
; ~ - ~ Eva Whiteman
~ . ~ ~ . • ~s - . ' (Address)
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~ - . ~ 9th February , ~q 67 {
~ ~~~Sworn-fi~ ahd subscribed before me this day of _
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ROGER POITRAS _ ~
CIRCUR C URT Notary Public
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~ gy D.C. My Commiuion expires 4
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(To b~ ~x~evhd ie dupliuh and ori~inal fil~d with Cl~lc Cirwif Cou~f, and dupiieat~ with Tax As~.) '
_ afloK164 P~E16 ~5
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