HomeMy WebLinkAbout0019 D~la~ation ot Oomiail~. a~d Citi=~nship
TO THE STATE AND ~Ol1NTY TAX ASSESSOR, ~ 153~91
Si. tUCIE COUNTY, FIORIDA: ' ~
This i: my declaration of Domicil~ and Citiunship in th~ State of Horida that 1 sm fillnq thts dey i~ aocad~nos a~d
in oonformity with Chapter 22?. Section 2Z2.17, Florida Statuta.
1 was formerly a Ipai resid~nt of Ardera F-enn
(Cib? tSt~tr)
and 1 rosided at HcvwvK 1 h~w chsrp~d my domWl~
(Strs~t and Numbe~) ~ ~
ro and am and hsve bsen a bona fide r~ident of the State of Florida sina ~Y ~
1~larch_ 1959 ~ e~ n Ystes Road, Rt 4
~t ~nd Numb~r)
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lrORT r1~CE. SAINT ttlClE COUNTY. RORIDA -
and this atatement i: b be tsk~n as my dsdaration of ddzsnship, actual le~a! reskknc~ and domidl~ in ths Stat~ of Horida.
pnsert here any pertinent fach, :uch a: sale of prop~rty or bu:inas, or nlinqulshment of employm~nt
at formsr domicila, removal af famtly ro new domidle, purcha~ of horns, etc•)
¢l~Efl aNp RECOR p ~
8T. LZ~Ci! COUNTY.~~,q.~
Applying for homestead RECORD VERI~'IED -
- ~ '6~ I~R I3 AM 1I:23 _
- 153491
C~ERK
ClRCUIT COURT
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~4. 1 RJRTHER G~'TIFY that 1 wiil camply wHh.~II ott~u nqvi~errwnri of a Ipal r~idsM of thts State. ~
I FURTHER CERTIFY that I have no intention to'ltitum to my former domi4le, and I intend to remain in FORT
PIHtCE, SAINT WCIE COUNTY, FLORIDA, permanently.
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. . '.~:~J.s~ ~.t: ~ Edward Robert Lutz -
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'~~~n'fp•a~,~at)~bsaibed before me this 13 day of ~'18rCh 196? . .
+:le~~stl~s
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t CIRCUIT ~OURT Notsry Public
gy ~ D.G. My Commiuion expins
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a (Te b~ ~M~i ~ a~d ~i~l fiNd wilb Ci~elc Cire~it Coref, and drptiesN wiM~ Taoc A~~ora
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