HomeMy WebLinkAbout0293 D~claratio~ ot Dom1c11• and ~his~nsh_ip 1~~
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE GOUNTY, FLORIDA:
This is my dedsration of Domicile and Citi~tnship in the Stats of Horida that 1 am filin~ thts d~y in aooordana and
in aonformity with Chapter 2Z2, Section 2Z2.17, Florida Statute=. -
I wss forme~ly a le~al rosid~nt of Te~iu.
Kity) ~Stat~)
end I resided at . HowwK 1 hav~ charq~d my domtdl~
(Stnet a~d Number)
to and am snd have been a bona flde ~~sid~nt of tM Stat~ of Florida :inos ~ ~Y ~
St.Lncie Country Qutb -
wP~ . 19~~ , and 1~id~ at 29T1 Treasttre Ialand Hi.
(Strest and Number)
FORT ~1~, sAqrT lUC1E COUNTY, RORIDA -
and this :tatsment is b bs tak~n as my declaration of citimnship, actual Is~al re~idena and domicile in th~ Sta» of Horida.
pnsert hsro any pertin~nt facts, :uch ss ale of property or busineu, or mlinquiihm~nt of ~mpioym~nt
_ at formK domicile, romoval of family to new domidle, purchas~ of home, ~tt.)
~tablishing residenca ST
LLUC E COUNTY FLa.
~2ECORD VERIFIE~
~pp~jring tor homestead ~ js`~O
. ~st ~p I S PM 3: s~
i:4a~F i•0lTA.:.S
CLERK CiRCUIT COURT
f -
,
~
1 FURTFIER CHtTIFY that t wil) aompiy wlth ali other nquirerr~enb o# a le~al r~ident of thi: State.
1 FI~~TidERs~~Y that 1 have no intention to return to my former domivle, and 1 intend to remain in FORT
. f-
PIERC~, S~t~~t~~~l1~G~~~~~._•FIORIDA, permanently.
:,~~y:''i ;C' ~
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_ J ' y~~ ~ • ; ,,h • . ac
_ ^t- . . ' . i ~ (Name)
. ' b = - Hsrdin Eli Rfl~s ~ Jr
- -
< ~ r r ~ ~
~~,:t.
, . . (~4ddress)
Sworn to and wbscribed before me this 15th ~y ~ l~iarch , 19~3-.
ROGE~ ~OITRAS ~
~ ~ Notary Publk
gy D.C. My ~ommission expires
(Te b~ ~anaNr ~ dvpNcN~ an~ eri~iwal Rl~d wi1G CMrk Cirwh Ce~~, and d~ptieM~ whM Taac A~s~xa
a~x 165 P~ 292
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