HomeMy WebLinkAbout1088 ~ O~alaratio~ ot OomIc11~ and Citis~nship
TO TNE STATE AND GOUNTY TAX AkiSESSOR, ~
Sl. WCIE COUNTY, FlORIOA: , ~ _
Thh is my detlaration of Oomicile and Citisanship in th~ State of Florida that 1 am filin~ this day 1~ aooordano~ a+~d
in oonformily with Chapter 2~2, Settion 222.17, Horida Statttt~s.
1 was forme~ly a ~eqa~ restd.nr of - Ctiic a 8o z~ lino i s
Kih~ lSt~»)
a~ at 2900 North Clark St reet , How~vu 1 haw chanq«f my domidl.
~f and Number) ,
ro snd am and haw bsa~n a bona fide ~u~dent of the Sht~ of Flo?lds sino~ lst ~y ~
Jan. 19 6Se~ ~ 2701 South 26th street
(Strwt and NumbK) -
r~ naea~, s~ ~ucu cou~mr, aoRro~
and this staterr~nt i: to be tsken as my deda~etio~ of dtiun~ip, actual lpai raideno~ and domldl~ tn th~ Sta» of Hor~a.
(Insert hKe any pertinsnt facts, such at sale of prop~tty or busin~u, ot nli~quithm~nt of ~mpioym~nt
at fom~r domkil~, removal of family to new domkile, purchas~ of h~. Nc.)
~~cEn ANn R .
ApFl~ing for homestead srRE~C~IE ~OVE~RpEp
' R~ VERIF~ED~A' -
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~ e~RK CIR~V~T
RtiS
~~URT
1 RIRTHER G~RTIFY that 1 wFll oornply with a!I other nqul»rr~snfs of a lepa! r~sident of thls State.
1 FURTHER CER7IFY that I have no intention to retum b my former domivle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUWTY, FLORIDA, permanenNy.
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_~~~~,,is,~~~~:,...:,, ~Name) J. D. White _
~,~;ti:.:C~;,,'•.,
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- ~J. . v.v `~I
~.n. 2701 S. 26th Street, Ft. Pierce, Fla.
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ti~'+ _ (Addreas)
. t ~ y; ~L ~ ~ 1i _ .
~ ~4;' ; ~ ti 23rd March 67
S~w~ri b's~1~, before ms this dey of 19 .
~'~fE ~o•`~~x~u,
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ROOtt l~iTRAS - .
~K Notary Publk
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BY D.C. My Commit;ion expins
R~ M~aN~ M d~p~ea~ a~d etiainal Rl~d wilii Clwk CM~c~if Cowl, aed dvplieal~ wi1t~ Tax A~~J
~ 600K~~ ~AGE~~~~ -
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