HomeMy WebLinkAbout2451 ~ 16~154
~ aaluation ot~-oomlctl~ and Citis~nship
TO THE STATE AND ~OUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FtORIDA:
This is my declarstion of Domicile and Citize~ihip in th~ Staro of Horida that I am fili~p this day in ~ooordanq and
;n c~onfo?mity with Chapter Z?Z. Settion 222.17, Florida Statut~s.
1 was formerly a legal resid~nt of RiTl12LG~d Ider Yerf
(City) (Sta»)
~nd 1 rosid~d at SO Piite Contt~ . Howa,rer 1~aw chanysd my domidi~
(Sne~t and Number)
to and am and have baen a bona flde r~ident ot the Stats of Florida :inos ~th ~y ~
Octobes , i967 , and ~~tde n 1306 Bdge~ale Rosd
(Strest and Nu~)
FORT M~CE, S~AINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my daclaration of dtiunship, actusl lep~i r~tdenos and domicil~ in the Stst~ of Horida.
(Insert hsre any pertinsnt fects, such as ale of propery or bu:ineu, or roHnquithment of employm~t
at formbr domicils, mnwva! of. family to new domicile, purcha~ of hane, ett.)
~tering chiidrea ia scbool
and wiil appiy for hoaestead ese~ption later.
' ~ FIlEO ANO RECOROED
ST~RECORC VERI~ EO`A• ,
~ '
161154 ~'20
'6T OCt 2 y ~ i0
,
KO;;Et~ i•0l7R,:S
' CtERK CIRCUIT COURT
, 1 FURTHER C~RTlFY that 1 w)II com~y with all other rsquiremepri of a ley~! rosidsM of fhts State.
' 1 FURTHER CERTIFY that 1 hsve no intention to return to my former domicjie, and 1 intand to remain in FORT
PIERCE, SAINT LU~IE COUNTY, FLORIDA, permane?itly.
'
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- (Nar+~e) Brnce R, Tnthill
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- _ _ ~ 4.:- 24th
- ;~a~1d w6suibsd before me thi: day pf O~tOb!= I9~T.
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~ Notary Pubiic
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BY , D.C. My Commiuion sxpires ~
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R~ b~ ~oneu~Nd M drpNeaN aml eriain~l Al~d wilb Cl~elc Qra~it Cev~1, aad duplkaM wiM~ Tax As~o~a ~
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a~K168 P~2446 ~ ~
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