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Declaration ot Domicile and Citizenship ~
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TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. IUGIE COUNTY, FLORIDA:
This is my declarotion of Domicile and Citizenship in the State of Florida thst I am filiny this day in aooordanos and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal ~esident of Stuart, Flor+da
(Ciy) (Stat~)
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and I resided at _ pinC3 Mobile Home . However ! haw chan~sd my domicile
(St~eet and Number)
to and am and have been a bona fide rasident of the State of floride since 1St day ~
_ July , 19.bb_, and 1 reside at 1815 So 29th street
(Street and Number)
PORT PIERCE, SAINT LUCIE COUNTY, RORt~A
and this statement is to be taken as my decla~ation of citizenship, actual legal re:idence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of p~operty or busineu, or relinquishment of employment
st former domicile, removal of family to new domicile, purchase of home, etc.)
Applying for homestead
FILEO AND RECOR~ED
ST. LUCIE COUNTY. F~•
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'6T MAR 3 PM :53 .
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~ CLERK CIRCUI7 COURT j
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I FURTHER CERTIFY that I will aomply with all other requirements of a leyal resldent of this State.
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~ I FURTHER CERTIFY that I have no intention to retum to my former domi~ile, and 1 intend to remain in FORT
PIERCE, SAINT, ~~IE-COUNTY, FLORIUA, permanenily. _ _
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= "v' . . . - . (Name) ~
_ _ : : . ~ _ : Stephen~ A. Eskin `
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' ~ (Ir,.~'y' ,"G~ ' ~ ,
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~ Sworn to and subscribed before me this 3 id day of Ma r c h ~ ~ q~,
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~ ROGER POITRAS
CIRCt1R URT Notary Public
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~ gy D.C. My Gommission expires
(To b~ ~x~cuf~d ie duplkaM and ori~ieal Rl~d witb CIKIc ~ira~if Carr~, i~I dYPljca» wifh Tax A~or.) .
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