HomeMy WebLinkAbout0139 D~claratlo~ ot Domicile and Citis~nship ~59G8~
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TO THE STATE AND COUNTY TAX /~?SSESSO ,
Sj. WCIE COUNTY, fIORIDA:
This is my daclaration of Domicile and Giti=enship in ths State of Florida that 1 am Hlinq this day in aooord~~oe and
in ao~formity with Chapbr 222, Section 2~2.17, Flotlda Statut~s.
I was formerly a iegal rosident of L~6 Beach Ialand Neut Jeraelr
(CiN) (Sta»)
and 1 rasided at 2608 Long Beach Blvd. . . H~wevsr 1 havs chan~sd my domi.cile
(Street and Number)
to and am and have been a bona fide rosident of the Stste of Florids sinoe . 2~ day of
Jti~±s , 19~, and I rosids at ~5 N~="th 22nd atreet
_ (Straet and Number)
FORT M~CE, SAINT LUCIE COUNTY, fLORiDA
and this statement is to be taken as my dedaration of citi~enship, acfuel leqal residenoe a~d domidle in the Steta of Florid~.
pnsert he~e any pertinent facts, auch as sale of propeny or business, or relinquishm~nt of employm~nt ~
st forme? domicile, removal of family to new domicile, purchase of home, ettJ _
- FiLEO AtVO ~iECOROED'
ST. LUCIE COUNTY. fLA.
' RF~ORp VERIFIED
Establtahing residenc:e 159681
'67 AUG 31 AM 10 : 3~
$ntering Maureen in the 6th grade
~OGCR .'OITR~~ ~
~Sll app~r for homestead exemplion in the tYrat part of l~~ERK CIRCUIT COUR1'
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I RIRTHER CERTIFY that 1 wili comply with ali othsr requiremenfs of a le~al resident of this State.
! FURTHER CERTIFY that I have no intention to ~etum to my forme~ domicjle, and 1 intend to remain in FORT
PIERCE, $~I~, lUCIE COUNTIf, FIORIDA, permanently. ,
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- : ~ ' ' : ' ~ Sdxard M eDevitt
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Sworn b and subscribed before me this 31 day of V1~At , 19 67 . (
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R6G~ rOITRAS
tIRCUR iCOURT Notary Public
gy ~O'~'~"~~u D.C. My Commiuion expiros
(Te b~ ~x~u~d ie duplicai~ aed o~inal fll~d whb CIMIc Graik Coue~, and d~plicah wilb Tax As~er.)
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