HomeMy WebLinkAbout2660 j 15324i
Oeclaratlon ot Domialla and Citize~ship
TO THE STATE AMD COUNTY TAX ASSESSOQ,
51. IUCIE COUNTY, FLORIDA:
This is my declara?ion of ~omicile and Citizenship in ths State of Florida thst 1 am filin~ thi: day in saorda~a and
in oonformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
1 was formerly a legal ~esident of _ GrPr+n~~= Kentucky_
(City) (Ststs)
and 1 ~esidad at ~ A3h18lId R08d . Howevsr I hav~ dtsnpsd my domWie
(Strest and Number) -
to and am and have been a bona fide resident of the Stats of Florida since Rth dsy of
hOVemUer ,~qb6 , Dnd 1 reside at Ra1SR Rosd
(Street a~d Number)
FORT PtERCE, SAINT LUCIE COUNTY. FLORIDA
nnd this statement is to be taken as my deciaration of citizenship, actusl leyal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such es sale of propeny or business, or relinquishment of emptoyment
st fo~mer domicile, removal of family to new domicile, purchase of home, etc.)
Homestead Purpnses ~
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fil.~D AND RECOROED r
ST. LUCIE COUNTY. FLA. '
RECORD VERIFIED
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'6T MAR 6 AM 11: Sy ,
RQG~R FOITR~Sj`53'~j-
ClERK ClRCUIT COURT
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I FURTHER CE~iTiFY that I wifl oompty with all othsr requirements of s(opal resident of this State. ~
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I FURTHER CERTIFY that ! have no intention to ?etum to my former domiGle, and I intend to remain in FORT
t-
PiERCE, SAINT LUCIE COUNTY, FLORIDA, permanent(y.
1 F
Robert Sexton~
``~is`?~:~s~::•;;- ROLite 2 BOX 324A . ~
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-~~~~3~', ~ ~'nrt A; PrCe ~ F lorida
:i O!: ~C~f@SS) ~
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J j . .•.j`i.-t .
:;e:;,5wat~i~o~~le.~.subscribed before me this 6th day of a'1arCh 19~. ~
U~•~ If4~i.'1.~rd~.~;~i ~:L• •
~'•;w?~RNAa~~~[1~A7
,,~1~C~1 COURT Notary Public
BY D.~. My Gommission expires
(To b~ ~x~aMrd ie dvplicNa and orioind Rl~d wi11~ Cl~rlc Ci?~a~it Cour1, se~d du~llcots w~b Tax A~sa~or.)
~ gooK164 NA~~2657
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