HomeMy WebLinkAbout2408 DeCl~ration ot Don~icile and Citisenship
153f)60
TO THE STATE AND COUNTY TAX ASSESSpR,
51. IUCiE ~OUNTY, FtORIDA:
This is my declaration of Oomicile and Citizenship jn the State of Florida that ! am filinp this day in xcordanoe and
in confomnity with Chapter 222, Section 222,17, Florida Statutes.
I was formerly a"legal rosident of Declb~ri~, M~r_hi oan
(Clty) (Stah)
and 1 resided at 145 NOrth Yernon , F1ov,iever i hsve chanqed r~ny domitile
(Street and Numbe~)
to and am and have been a bona fide resident of the State of floride :ince lst day of
Juiy _ , 1966 ~ a~ ~ r~ide atStar Rt Edea,
(Street snd Number)
FORT PiERCE, SAINT LUC1E COUNTY, FlOR10A
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and this statement is to be taken as my decla~ation of citizenthip, actuat le~al residence and domicite in the State of Florida.
(Insert here any pertinent facts, such as sale of property or bu:ineu, or ~elinquiihment of emptoyment j
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at former domicile, removal af famity to new domicile, purchasa of home, etc.)
A.pplying for homestead
F~~ED aN0 RECORDED
ST. LUCIE COtiNTY f
RECORD VFR1FfED~~
•sr 153aso
' ~ fEe 28 ~ ~Q: ~0
C~ERK CIRCUIf T~~S
T COURT
~
~
I RJRTHER ~HtTIFY that 1 wili oompiy witfi all othef raquirements of s le~a! r~ident of this Stats. ~
i
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I FURTHER CERTIFY that I have no intention to retum to my former domivle, and I intend to remain in fORT ~
~
! PIERCE, Sq1~T !UClE COUNTY, FLORIDA, permanently. ~
j ,`'~J;•,'1~~`;~'•~::- ~ J ~ i
. ; • .v • ~~4r(I~V, . ~
~ , _ (NdfflB~ ~
- - ~ ; : " ~ Robert G. Warner ~
;
. .r,~.,==
. ~ f,Mj ' ~ .`v (Address)
n:-
Sworn to and subsuibed before me this 28tb day of - February ~ , 19 6? ,
RQGfR P0ITR/Rf
CIRCUR URT Notary Public "
~~t~~t.~-
By D.C. My Commissiqn expires
(To b~ ~uwt~d in d~pikat~ and oripinal fil~d whh CIKic Ciec~M Couh, and d~rpliuN v~i1h Tax As~sor.)
sooK 164 ~A~E2404
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