HomeMy WebLinkAbout0203 . . . 159`722
. Oecla~atto~ ot Oon~icil~ and Citt:e~ship ~
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TO THE STATE AND COUNTY TAX ASSESSOR, ;
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Si . LUCIE GOUNTY, FIORIDA: ~
Thi: is my declaration of Domicile. and Gitizenship in ths State of florids that 1 am filin~ this day in aooordano~ and
in oonformity with Chapter 222. Saction 222.17, florida Statutes.
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i was formerly a legal ~esident of SnrinQf;~ld _ I11~IIO~i
(Ciy) (Stab)
and 1 ~esided at ~ 2404 South 13th StZeet . However 1 hsw chsn~ed my domidle
(Street and Number) .
ro and am and have been a bona fide resident of the St~ts of Florida since ~~th day af
Ysn , 19_~7and 1 roside at 194 Se=saata Coo=t
(Street and Numbsr)
FORT t1~CE, SAlNT LUClE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actusl leyal residenoe and domidle in the Stab of Horida.
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(Insert here any pertinent facfs, auch as ~le of property or business, or relinquishment of ~rt?ployn+~nt
at formef domicile, removal of family to nsw domidie, purchase of home, etc.)
Bnteriag C~arles Calhona ia Tth gsade -
Da~i~ Csiboun in 3rd grade
Also I sa bu~ing propest~ snd Miii be spplying
- - - - for hoaestead exe~ptioe
R1l.£9 ANt) AE~~
S7, tUC1E COUNTY. F
R~COftD VERiFIED
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~ '6T SEP I AM II: 18
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159'?'~~
~ F20GER PJI ~ ~i
CLERK CIRCUIT COURP
1 RJRTHER CERTIFY that 1 will oomply with all other ~equir~nents of a le~al resident of this Siste.
1 FURTHER CERTIFY that I have no intention to retum to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTIf, FLORIDA, permane~tiy. ~
~Q~_,..~~ ~ _ o~,,,~,~.,~ i
(Name) Chu1C3 Cilhoun ~
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(Address) t
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Swotn t~o snd subsuibed before me this ~at day of SeQte~ber , 19_b.?
.:,~1~11/1/~~~,.
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Notary Public
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gy ~ ~ ~ D.C. My Commiss'ron expires
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~ e~' in ~hrplisal~ a~d ai~inal fil~d wilh Cl~ek Grwh Cove~, snd duplicat~ wilb Taoc AsMwra
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~ e00K 1U0 PACE ~.VJ
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