HomeMy WebLinkAbout2740 Declu~ation ot Domicile and Cii:zanship j53;299
TO THE STATE AN~ COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FIORIDA: _ ~ ,
This is m declarotio~ f m' il ~ ~
y o Do ic e and Gtizenah~p in the State of Florida haf 1 am filing this day in accordanos and s
~n conformity with Chapter 222, Section 222.17, F~orida Statutes. ;
i was formerly a legal resident of wOOddS1C IlliDO1S
(Ciy) (Stah)
and 1 resided at ^ 381 NOrth Catalpa . However 1 havechan~ed my domicJle
(Straet and Numbe~)
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to and am and have been a bona fide resident of the State of Florids since 17th dsy of
I
Septe~eber 66 410 North 40th Street !
- - , 19 , and I reside at
(Street and Numbsr)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actuai le~al residence and domicile in the Stsro of Horida.
(Insert here any pertinent fads, such as sals of property or busineu, or relinquishment of employment i
at former domicile, removal of family to new domicile, purchase o~ home, etc.)
HOMESTEAD PURPOSES
Fl~ED ANO RECOROED'
ST. L~~~E COUNTY, -
RECORD VERIFIED ~ '
'61 N~AR 7 AN I f: 45
153,~3~
CLERK C RCUIT COURT
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! FURTHER CERTIFY that I will aom I with all other ~ uirements of a I ~
P y eq eqal residsnt of thjs State. ~
1 FURTHER CERTIFY that I have no intention to retum to my former domiGle, and I intend to remain in FORT ,
PIERCE, SAINT LUCIE COUNTY, FLORI~A, permanently. , ~
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,~~tiitt~~u:r::,,.
- ~ (Name) Ro~ert C. Carter
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` 1, V V J 'S
; r~ ;~.~.~;r~ y~r?,. 410 N. 40th Street , Ft . Pierce , F1a.
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~ ; ,S' j ~ : :='ti : _ ' (Address)
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% ,a•. ~ . . : 7th
-~a~?.ta~bd.~~bxribed before me this day of March - ~ 1467
.
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RoaHe romus -
CLERK CI COURT Notary Public
~Y O.C. My Gommission expires
(To b~ ~x~cut~d in duplicat~ snd ori~inal fil~d with CINk CjrcuH Cour~, ~nd duplieat~ with Tax Aaa~or.~
. aooK 164 ~A~~ 2 l~~ ~
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