HomeMy WebLinkAbout2837 D~clBratlon ot ~o~niail• and Citizer~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my decla~ation of Domicils and Citizenship ln th~ State of Florida that 1 am filinq this d~y in aooordano~ a~d
in oo~fo?mity with Chapter 222, Ssttion 222.17, Florida Statutes.
1 was formerly a legal ~eside~t of Trenton New .j.~~ReX
(City) (51at~)
and 1 tesided at 18? Be a 1 St ree t . However I haw dung~d my domWl•
(SneN and Number)
to and am and have been a bona fide ~esident of the Staro of Florids since lOth day of
October , 19_5~, end 1 reside at 7~7 $ ~ AvenLe
(Sheet and Number) ~
FORT MERCE, SAINT LUClE COUNTY, RORIDA ~
~
and this statemsnt is to be taken aa my declarafion of citizenship, actual Is~al retidenos snd domidl~ in the State of Horida. j
f
(Insen here any pertinent fad:, such as ssle of propsrty or buainess, or rolinquishmsnt of employmMt
at former domicile, removal of family to new domicile, purchase of home, etc.)
Homestead exemption purposes
F~LEp AND RECORDED
ST. LUCIE ~VERIF
ED~~
RECiS~~ .
g ~10 ~ 20 •
'61 NAR
10~~,~ i 017R~S
' ~ COURT .
~ CLERK CIRCUIT
~
I FURTHER ~ERTIFY that 1 will aomply with all othsr rsquirements of a lepaf residsnt of thi: Stste.
I FURTHER CERTIFY that I have no intention to retum to my forme~ domitile, and 1 lntend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
. , .
(Name)
Capt John ~E Di 11
.
~ ~:-'°F~ ~~'Y (Address)
~ ~.,.t;.~.~,:..:~~,:~,;
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-~.:~to•end syf~cribed before me thi: 9th day March , 19~. ~
~ ~<<z
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t~~~~~R,~~ Notary Public
.
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g'' ~ ~ D.C. My Commission expires
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(To b~ ~x~wl~d in d~pliuh am! o~ A~K~Y 1'AGt~.?V~~ wilb Taoc Asw~x.j
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