HomeMy WebLinkAbout1187 o~cluation o~ oomidh a~d Cit~~ship 3
154~
TO THE STATE AND COUNTY TAX I1SSE.SSQR.
51. LUCIE COUWTY. FLORI~A
This is my declantion of Domicil~ and Gti~enship i~ th~ Stat~ of Horida tMt 1 am filinp thit d~y in aooor~~w and
in conformity with dtspte? Z22. Ssttio~ ~24.17, Horida StatuNt.
1 Wss forrt+~ly a Ipsl rosid~~t of rI0rlQtt.~ .~,en+.t: Carnl_9 u
l~ptY~ _ l5tat~
arxl 1 rosidsd at RoutA 1 B.m_c 61{L 1~bv~r~wr 1 haw d~npstl rny domid~
(SttMf snd NumbK)
ro and am and hsve bsen a bona fids ~id~nt of th~ Sts» of Florida sino~ i4 5th day d
Dee~b.or , 19-~-, and 1 rosid~ a~ ~L ~1 ~ a.
(Strs~t snd Numb~~)
l~ORT ~1~, SIIN~IT LYCIE COUNTY, l~ORIOA
and this :tstement is to be tak~n as my deda~ation af dtit~nship, adwl Ipal ~~sklMw and don~idl~ in fhe Stat~ of Horidi.
pnsert he~e any perti~t fscts. sud~ as sak vf pnop~rry or busi~ess. or rolinquishnwnt of ~r~plo.yn~nt
at former domkile, romovsl of family to n~w domkile, purchss~ of hon». Nc.)
Ao~testead ~emptioa FILEO /1ND RECOROEO'
ST. LUCIE COUNTY. FUI.~
RECORD VERIFIED
'6T MAR 2T AN t I: 2q
154,~3
~oGE~ PO~TRaS
CLERK CIRCUIT COURT
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~ 1 RJRTHER Cf3tTIFY tltiaf I wlil oompiy with all o1i~ requt~an~ts of a lepal rosident of fhis Stsi~. -
f FURTHER CEi:TiFY that I have no iM~tion to return t~ my former dom~iGle, and 1 intend to remsin in FORT .
PIERCE. SAIWT LUCiE COUNTY, FLORIDA, perman~tly.
' ~r,~1e) owas Casper en ~
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. u S~;tb aRd wbsu~bsd before me this 27th ~y ~ Iiarch - 6
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