HomeMy WebLinkAbout1884 Declaratio~ ot Domicile a~d Citise~ship 1$i~?4~
TO THE STATE AND COUNTY TAX ASSESSOR,
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Si. lUC1E COUNTY, FtORIDA:
This is my decla~atior~ of Domicile and Citizenship in the Stata of Florida that 1 am filin~ this day in aooordsno~ a~d
in confwmi~y with Chapter 222, Section 222.17, Florida Statutes. -
I was formerly a legal resident of ~~8~ Geolc`g~a
" ~ (Gity) (Stsh)
end 1 ~esided at _ 839 F`Y'otSCher . However 1 have chsrpsd my domlc~ile
(Street and Number)
to and am and have been a bona fide resident of the State of Ftorida since 6th day of
Feb ~c~c N~ 2 Box 106
, 19^' , and I roside at i
_ (Street and Number) ;
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fORT RIERCE, SAINT LUCIE COUNTY, RORiDA }
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and this statement is to b4 taken aa my daclerotion of citizenship, actual leyal residenos and domicile in the State of Horida. ~
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(Insert he~e any pe~tinent facts, such as tale of p~operty o~ business, or ~elinquithment of employment ~
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at former domicile, removal of family to new domicile, purthsse of home, etc.)
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~pp~ping for hoaiestead and esta~23shing residency
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FILEO AND RCtCOR~~~- `
57. LUCIE COUNTY . ~
RECORO VER1~43
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'61 FEB 14 AN 10:21
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no~~R l~~~sac,s
CLERK CIRCUIT COURT
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I I FURTHER CHtTIFY that I will oomply with all other requiromenb of a(epal resident of this State. j~
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I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT j,
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PIERCE, SAIN~``Ul~t~=,CQUNTX,,FLORIDA, permanently. ~
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J `c ~ L80n ~a $8H
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1ltth February 19 67 t
Sworn to and subscribed befwe me this day of , ~
ROGER ~ORRAS
~ CIRCUR O~lRT Notary Public
By D.C. My Commission expires
8 Ro b~ ~oaoul~d in duplicab "and ori~inal .Al~d with CIMIc Grarif Coue~, ~ and duplieab wifb Tax A~~o~.)
eooKlfi4 ~188~ r
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