HomeMy WebLinkAbout1971 Declaration ot Domicll~ and Citise~ship
152803
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Oomi;ile and Citi:enship in the State of Florida that I am filinq thii day in aooo~dence and
~n oonformity with Chapte~ 222, Section 222,17, Florida Statutes.
1 was fo~me~ly a legal resident of Basking Ridge New Jersey
(Ciy) tStah)
and 1 ~esidad at Rt 1 BOx 274 B _ F1or„ever 1 have chan~ed my domiCile
(Street and Number)
to and am and have been a bona fide re:ident of the State of Florida sinoe lbth day of
_ ul , 19 66, and I reside at 4009 Greenwood Drive
(Street and Number)
FORT MERCE, SAINT LUt1E COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legai residence and domiale in the State of Horida.
,
(Insert here any peninent fads, such as sale of propeny or business, or relinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence and will app2y for homestead
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FI~ED AND RECORD D ~
ST. ~UClE COUNTY F~A.
RECORD VERIFI~D
'6~ ffB i s PM : 5~
152803
kOu~R i'OtTRAS
CLERK CIRCUlT COURT
f
I RJRTHER ~EitTIFY that I will aomply with all other requiremsnh of a(epal resident of this Stab. ~
,
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT tUC(E;COUNTY, FLORIDA, permanently. ~
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= V tc~J ~ - • ; Name)
1- 1 t• G~• i?
: ~ ~:1: . - A~ Roner Stotz
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- • (Address)
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"'"t~~ t [,th Febru ar 67
~ Swor~1 to and suburibed before me this day of - y ,~9 ,
ROGER ~OITRAS
~ CIRCUR URT Notary Public
al.~~-Ci ~rc.L~l~
a D.C. My Commiuion expires
tTo b~ unevl~d In duplicat~ im! ort~Inal 81~d wtth Cl~lc Ci~wif Cou~t, ~nd dupiicaf~ with Tax AsWasr.)
e~c 16~ ~i~19~ '
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