HomeMy WebLinkAbout0028 O~al~atio~ ot Domiaii~ and Cituc~~sfNp -
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TO THE STATE AND COUNTY TAX ASSESSOR. - 153498
51. WCtE COUNTY. FtORIDA: " .
This is my d~ciaration of Oomidl~ and Citi~snship i~ th~ Stat~ of Florjda-that 1 sm filinq thts day in aooordana and
in oonformiry with..Ct aPtK 22Z, Section 222.17, Florida Statufts. . 1
1 was formerly a Ipa1 rostcNnt of Gibs'~arough New Tersev
' (Ct1Y) (Stah)
•nd 1 resjded at Z2 I~ Farwood Ave. , How~v~ 1 hav~ chanp~d my domidl~
(StrMt and Number)
8th .
ro and sm and have b~~n a bona fide ~etid~nt of tM Stat~ of Horid~ sinoe ~Y ~
Npvtmbet ~ 19 6j ~ ~~y~- ~ 40Q Ba4t Ptima Victa Blvd _
- (Stre~t snd NumbK)'
lORT MERCf. il11NT WCIE COUNTY, RORIDA _ • - '
and this ststement is ro be taken as my declaation of dtin~nship, actual Ipel r~ideno~ and domkil~ tn the Stah of Horida. _
qn~t here any pertinent fads. :uch a~ ssl~ of propsrty or businas, or roHnquishm~+t of employm~nt
at former domidle, nmoval of fsnnily to ntw domidle, purchas~ of homt, etc.) .
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~i~o Anio RECORo~o
ST. ~UC~E COu `
NTY. ~e
Bstablishing residence RECORD VER~F~ED~~ - -
Will apply for homestead • ~l ~ ~3 ~ • ~
- 1534~8 22
~~ERK E~ ~'orrRas
CIRCUIT COURT
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1 RIRTHER CdtTIFY that ! wiil oomply with all other roquirerr~snts of a ipal r~sickM of this Sta».
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t FURTHER CERTIFY that I have no intention to retum to my former domitile, and i intend to romain ~in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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'.`~~~~Q• ~~~•~st +•~.,OG II~
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G:~s~~~,,r~~~•.~~'% Edward Ni o s.
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• ` J~=:.- • ~ . : ~ -
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. '~:y~ Mildred L.~Nichols
..;~1~~~;vl.. . ..•8: _ - _ 13th ~larch 196? .
=~,>,~,ti:,.,,~~t~wo~j.to ac~i~bsdribsd before me thi: day °f . .
ROO~ rO1TRAS ~
CIRCUR C011RT Notary Public
gy 0.C. My Commission expires .
Re b~ uaail~d M d~plieal~ a~ orioiwal tiMd wMM p~ek Cirs~rif Gw~, and d~plicat~ wilb Tax Aw~ea
$~165 P~ 27
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