HomeMy WebLinkAbout1411 o~a~uatbn ot oom~au~ and C~~nship 15442i
TO THE STATE AND COUNTY TAX ASSESSOR,
ST . lUC1E ~OUNTIr, FlORIOA:
This is my ded~ntion of Oomiale ~nd Citi~tnship i~ th~ Sfat~ of Florlda that I am filinp this day in aooordana and
in aonformiy with C'hepter Z22, Section Z2Z.17, Horida Statut~s.
1 was formsrly a leyal rosident of Pittsburg K~~aa
(CM1r) ~St't~)
and 1 residsd at 528 8 JaCkson . Howewr 1 haw charp~d my domidk
(Street and Number)
ro and sm and have bsen a bons fids ros'ident of th~ Stat~ of florida sinos ~Y ~
~'~irC.b - - ' ~7 "`i ~ a~ ~ ~~1~ ~ ~~fl HA+1Pm C~roe~
_ ($t~~ iflC~ NUff1bK)
FORT ~IERCi, SA~IT LNCIE C01lNTY. l~ORIDA
and this :tatemsnt 1a ro b~ taken ss my dedaration of dti~nship, actuel Ipsl r~idena a~d domidl~ in the St~t~ of Horida•
(in~t her~ amr pe~tinsnt facts, such as ssle of property or bu:ines~, or rolinqui~mMt of empiaym~+t
at formsr domicile. rsrr+ovsl of famity to new domidk. -purchss~ of ha+r~, ftc.)
Appl~ing for hon~estead _
F~~~ ANb RECORD~p-
ST. ~~~~E COUNTY
RECORD Y~RIFIEp~' ~
~ ~ 154421 _ _ =
~l 1~4R 31 AM 10 : ~ ~
. - ~a~
~'oGF.? ,~O~TRtiS~
. CLERK CIRCUIT COURT
~
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~ i FURTFIER CfltTIFY that 1 will aompfy with sll a~M~er roquir~m~nts of s leyal ~idsnt of thk Stat~.
i fURTHER CERTiFY that 1 have ra intention to retum to my former domi~le, end I inte~d to remain in FORT
PIERCE. SA?MlT.'.~CIE;COUNTY. FL~RIDA, perrr~anentlY-
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`:`~~i~f ! 4 IS ~~~5~
~ ~ :~l.~ - ~ , ~ c : _ , : C. A. 1~{cDowe 11
e{~ $"J;;.t.~ _t~ ~ti, _
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"5v~rorn~ib~iixl substribsd before me this 31 ~y ~ March , 19_bZ
ROOER rOiTRAS _
C~pNT OOi~RT Notsry Pubiic
gy D.C. My Gommission txpiro~
R~ iM ~aw1~ i~ d~pNe~ a~ Ki~inat Ai~d wMi~ q«~c CM~it Ce~et, awd d~pNa1~ wi~ Taac A~er.~
~165 ~1408
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