HomeMy WebLinkAbout0023 acluatbn ot Dom1Q1l~ and Citfsa~ship ~
~ ~ 153495
TO THE STATE AND COUNTY TAX ASSE.SSOR, ~
ST. lUC1E COUNTY. FLORI~A:
Thii is my declaratior~ of Domicile a~d Citiunihip in th~ Sta» of Fiorida thst 1 sm filin~ this day i~ aooo?da~ a~d
i~ conformlty with Chapter 2Z4. Settio~ 222.17, Florida Statut~s. •
I was formerly a ~e~el roi~d.nt of Pitt„gt~nrcth PCn~3Y1V8l1~8
~pfY) (Stst~~
and 1 rosided at ~741 I?QVe=dell Drive ~ _ HowevK 1 haw cMrq~d my domkiN
. • (Sna~t and Numbe~)
to and srn and have been a bona fids ros'~nt of ~ Ststt of Florids sina t ct day af
October ~q 66 , e~ ~~~e ~ 776 East Prima Vista Blvd.
~ ~Stri~t aed NumbK) _
fORT ME~. iAiNT LUClE COtiNTY. RORIDA
and this statement is to be taken ss my,declaration of dtiunship, actual lepal r~sidena ~~d domicil~ in Ms Stat~ of Florida.
pnse~t here any pertinent fscb, such a: sale of propeny or buslness, or roHnqui~+mm~nt of ~mploym~nt
at forn?sr domkile, ~~moval of family to niw domidle, purchase of horne, Nc.)
F~~p AND REC~R~~,, _ Homestead~ exemption purposes - -
~T: E~~R~ yEfi~EO ~
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'61 I+IAR 13 Pt~ ~ ~ 3~ . ~ -
1~3~95 _ . -
~ Ro~~ Rcu T covRT
~ CLERK
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i FURTFIER CHtTIFY that I will aomply with ali oth~r roquinrnsnts af a tpal ~idsnt of ti~is State.
1 FURTHER CERTIFY tfiat I have no intention ro retum to my former domiGle, snd I intend~to ~emain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently. .
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Mrs. Gladys B. Prietsch
(Address}
Swom ro and subsuibsd befwe me tfiis 13tf# ~y MatCh , 19~.
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- ~RC~IT CONRT Notary Pul~Ik
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D.C. My Commi:sion sxpir~s
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f~~.,.-~ , eii :~,i~ d~pNc~ .nd eei~iaal Al.a ,ai1i~ u«t eiraiM e~o,n~, .ea d~r~iieaM a?iN~ Tax A~....e.a
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