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HomeMy WebLinkAbout1531 ~ ~alaratlon ot Danicil~ a~d Cittsa~ship . TQ THE STATE AND GOUNTY TAX ASSFSSQR, 51. lUC1E C4UNTY, RORIDA: This 1: my declaration of Oomicile and Citiu~ship in ths Stat~ of Fiorida that 1 am filin~ this day in acoordano~ a~d in oonformity witi~ CF~apter 222, Ssttio~ 22?.17, Ftoridi ShtutK. 1 wss fwmsrly a Ieqal resid~nr of Ferndale Michigan - t~iN) (St~») end 1 resided at _ 2?Qb West CroY . HowwK t haw d+arq~d my drxnidti - (StnN at~d NumbK) - ro and am and have been a bo~a fide re;ident of the Stits of Florida sino~ 22=1d ~y ~ Februarq . 19 66, a~ ~ 161 Serenata Court - (Stroet and NumbK) FORT MERCi, SAINT lUC1E COUNTY. RORIDA and this statement is b b~ taken as my daderetion of dtiu+uhip, actual Ipal reiidenc~ and tbmklle tn the Stah of Florida. (Inssrt hKe any pertinent facts, such a: ~1~ of property or business, or rolinqui~ms~t of amployrn~m at former domicile, ~emoval of family to nsw domicile, purchase of home, ete.) Applying for homestead Ft~Ep qNp ~ECORDED ST. t,UC~E COUNTY. F~q;- ~?ECORD VERIFIEO ~l 1~'~~ ApR 3 PM t: 39 %iOGE?~ r~0l7R,4g ~~.ERK'CIRCUJT COURT 1 FURTHER GHtTIFY that I will comply with aU othe~r raquireir~ents of a lspsl r~sldsnt of fhi: State. ~ . I FURTHFR CE~tTIFY that I have no intention to retum to my former domiale, and 1 inte~d to remain in FORT ,~g, , PIERC;~;'.. j~ CJpUNTY, fIORIDA, permanently. - . \ ^ : v ~ ~ - ~ `.~~..~:•~%p . `'G A ~ . ` V ~'~v"~.;r • IJ ~ " _ 1 _ J-- ~4.-:.,- ~ ~ _ _ , • _ s`~~."; ~ ~ _ ~n' C ~ ~l - (~j~~~ ~~!'~ii ~ Oscar J Portia r~.;.~ ~'~r:s~ _ : . . / ~ • C ~'i (Address) _ . . . Sworn to and subsuibsd befote me this 3rd day Anril , 19 67 ROGER tO1TRAS - C OURT Notary Publk 4-~.-rL~l-qtt t.. a~c.~_r~~ gY D.C. My Commission expires (T~ b~ ~~aerNd iw dup~eati am! aiaiw~l fiMd wilb CM~Ic CiraiN Cowf, and dupiipN wilb Taoc As~e~a BOOK 165 P~~1 ~27 . _ y _ - _ ~ -