HomeMy WebLinkAbout1108 D~claration ot Oomlail~ a~d Citi=~nship
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TO THE STATE AND COUNTY TAX AaiSESSOR, - -
S1. IUCIE COUNTY, FLORIDA:
This ii my decla~atio~ of Oomicile and Citi~snship in ths Stat~ of Florida that 1 am filin~ this day i~ ~ooordana and
in conformity with Chapter 22Z, Section 2Z2.17, Florida Stahit~s. -
1 was formerly a Ipal rosid~nt of New York CitX N Y
_ (City) ls~•~•)
and 1 reiided at 87~10 34th Ave ~~v~ ~ h~v~ cfiarp~d my domidi~
(StrNt and NumbK)
ro snd am and have been a bona Nd~ n~id~nt of d~ Stat~ of Florida sina 4 th _ - d~y of
December ,~9~, and 1 nitd~ st 160 Eatan Dr~vP
- (StrNt and Numb~r)
FORT M~ SAINT LUCN COUNTY, lLORI~A
and this ttst~ment i: b be tak~n a: my d~claretion of citiunship, actual Ipil r~stdena and domidls in th~ Statr of Horida.
qnsen h~n ~ny pertirknt fach, such ~ sale of prop~ny or busin~u, or nlinqui~m~nt of ~mploym~nt
at former domidl~, ~~moval of family ro new domidle, punhas~ af hon~, ~tc.) _
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Applying for homestead
FILEO ANO RECOROE~'
ST. LUCIE COUNTY. F'l.A;-
- ~ RECORD VERIFIEO
_ 15420'7
. '6T MAR 23 PM 3: 08
~E~a+~~-~.G~
~~~=R POITR~S
' ~ CLERK CIRCUIT COURT
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~ i RJRTHER CERTIFY that 1 will oomply with all oti~er roquinm~nts of a lepal r~ident of thb Sta».
I FURTHER CERTIFY that 1 have no intention to retum to my former domicile, and 1 intend to remain in FDRT
PIERC'E, SAfNT_ 1t1~l~. f,;QUNTY, FLORIDA, pemnanently. ~
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-S~worn t~o and wbsaibsd before me this 23rd ~y M2trch
ROGER ~OI1RAf ~
~ N~ Notery Publk
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gy ' D.C. My Gommiuion expiros
(Te b~ ~oaarNd M dYpNcaN aad oe~l HMd wMb Ci~elc CiraiM Cowt, aAd d~rpika~ wbb Tax As~~a
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