HomeMy WebLinkAbout0877 D~aluatlon ot Domlail~ ~d CIti:MShq~
TO THE STATE JWD QOIJNTY TAX A~SS~SSOR, . 1~~~.y _
~
Sj. ltJC1E COUNTY. FLORIDA:
This i: my d~ciaration ot Oomicile and CiN~nship tn th~ Sta» of Horida that I am filinq this day tn aooordano~ snd
in conformiy with Chapter 2ZZ, S~ction 222.17, Horida Statuf~,
~
~ was formsriy a leqsl rostd«n of _ psyne G ap Kentuck..
K1b) lStat~)
end 1 ~~ided at - . HovvrrK 1 haw d~nq~d ~r~y domWl~
~
(Stn~t and Numb~r)
ro and am and haw bsen • bona fids naid~+t of th~ Stat~ of Florida sinas ~+y ~
,Tanuarv- ~ 19 57, n ?06 South 8th atreet
(StrNt a~d NumbK)
r~o~r n~, sn~ ~uca cou~nY, aoRm~
and this :tatement is to b~ tak~n as my d~da~ation of dtis~r+ship, adual Ipal rakNna ~nd domidl~ in th~ Stat~ of Horids. -
qns~rt h~n any p~rtln~M facn, wch u s~l~ af prop~rty or busin~ss, or nlinquishmK+t a• ~rr~ployrn~nt
at formK domkil~, nmaval of fsmlly ro n~w domidl~, punha~ of Fwms. Nc.)
Applyin~ for homestead RECOR~~-~~`:
F~I.ED AND
ST. UCI R~ V N?YEp~' °
tl~~ .
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'6T MAR 21 PM ~ 3~
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- tZO~L'~ ~ ORTR~S
. CLERK CIRCUIT COUFt7
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i RJRTHER GHtTIFY that i will oomply with all ott~ nquinmu~fa of a kpal residsM of this State.
1 FUR~lER,C~RTiFY that 1 have no intention to retum to my er domkile, and . I i to remain in FORT
t PIERCE. ~AINT. Lt~C1E:G
~OU .N~Y:_FLORIDA, permsnenNy.
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.."'~r,~~~?~~" ' 21 March _ 19 67
~.=5~worr~~ . ~nd ~t - me this dar of - •
ROOlt r01iR/1~ .
C~GNR~ot~t~ _ Not~ry Publk
C~f
gy D.C. My commissbn .xpia~
R. b. .oo.M.~ M a~a~«..~a ..i~iw.~ w.a ,~rNi~ a..k a~a~M c,ew+, .pa a~p~io~. T~oc A......ra
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