HomeMy WebLinkAbout1264 ~ O~alaration o! Oomlall~ a~d ~ Citis~shlp
~1.5431'~
TO THE STATE AN~ GOUNTY TAX ASSESSOR,
S1. LUCIE COUNTY. FIORIDA:
This is my d~tl~ration of Domidl~ and Giti~nship in th~ Sf~h of Horida that 1 Nn filinp this day i~ aooorda~+a +u~d
in ao~formiry? with ChaptK 2Z'2. Section 2Z2.17, Flo~ida StatuNs. .
~ was to~merly a Ip:1 ~id~nt of C le arwat e r F lo r ida
_ ~tY) (Stat~) . _
and i ~~ided •t 13~4 BYron Drive ~ h.~. d+.~,~.d my domtdk
~ ~sn..t a~d N~,mbu)
ro and am a~d have be~+ a bona fid~ nsld~nt of tht Stab of Flotida dna diy ol
February , 19 66 ,~nd I ro~td~ ~ 330 p~ ton Drive -
~Stt~ and Numb~?)
FORT M~, S~AiNT ltlCi! COtINTY. lLORqA .
and thi: :tate~r~t is to bs tak~n as my deda~ation of ciH~n~ip, actusi ipat residena and danidl~ in the Statr of Hotids. ~
pnsKt hero any pertinent fads, wd~ as ~i~ of prop~rty or b~nin~u, or nlinqubhmw?t of ~enploym~nt
at iorm~r domidl~, nmoval of family to n~w domicil~, purdu~ of horn~. Nc.)
~stablishing residence
. l~II.Ep AND RECpRD p
Appyling for homestead $T• LUCIE COUNTY~~
aECORO VERIFlEp""'
. - 154317
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; cIERK
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RCUj rRas
T COURT
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~ 1 FURTHER CHtTIFY that 1 wili oompiy with all oth~r nquinm~nh of a Ipd resident of thb Stat~.
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1 FURTHER CERTIFY that I have no intention to retum to my former domidle, and i intend to remain in FORT
2~~.i~,t?f ~ -
~ PI ~~11l~~/ NTY, FLORIDA, p~rmanently.
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Sworn ro•nd wkuuibsd beforo ms thi* 28th March _ ~q b7,
RCOR ~OITRAf -
CIRC~N~ COII~T Notary Publk
8y a-~.Ct.L ~v D.C. My Commis:ion ~xpir~s "
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