HomeMy WebLinkAbout2418 Declaratlon ot Domicile and Citi:enship
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. tUC1E GOUNTY, FlORIOA:
This ia my declaratio~ of Domicils and Citize~ship in ths State of Flaida that 1 am fflinp thi: day in aooo~dano~ and
in conformity with Chapte~ 22Z, Ssction 22Z.17. Florida Steri?te~s.
PITTSBURG pq~
1 was forme~ly a tegal resident of
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2432 Starkamp Ave. ,~V1e~e~ ~ have chan~~d my danidt~
end I resided at
(Street a~d Number)
to and am and have been a bona fide resident of fhe State of Florida sinoe 12th ~Y ~
April , ~9 6?, and 1 restde at Rt. 2 Box 2768•1S
. (St?eet and Numbsr)
FORT PIERCE, SAiNT LUCIE COUNTY, ROWDA
and this statement is to be taken as my declaration of citizenship, acfual ia~al resideno~ and dorr~idle i~ fhe Stat~ of Horids.
(tnaen here any pe~tinent facts, such as sale of p?operty or business, or relinquishment of employment
at former domicits, removal of family to new domfdle, purchsse of home, etc.) -
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FILING FOR HOMESTBAD PURPOSBS
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I FURTHER CEltTIfY tfiat 1 will aompiy with ail other requiremsnb of a leyal resident of thls Stats.
1 FURTHER CERTIFY that 1 have no intention to retum to my former domicale, and 1 intend to remain in FORT
PiERCE, SAlNT LUClE COUNTY, FLORIDA, permanently.
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-.~Swor~f' ~'o and subscribed before me this day of Apr i 1 9 6 7
ROGER -
~ U Notary Public
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B D.C. My Canmission expi~es
Re b~ in duplicaN and ori~inal Al~d whb CIKic Circ~il Cou~t, and dupikaia wHh Tax A~ora
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