HomeMy WebLinkAbout2729 Declaration of Domicile and Citisensl~ip
163259
f0 THE STATE AND COUNTY TAX ASSESSOR.
51. LUCIE COUNTY. FIORIDA: •
This is my declaration of Domicile a~d Citizenship in the State of Florida that I am filing this day in attordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
V~ 3I118
I was formerly a legal ~es~de~t of Richmond _ _ 8 _
(City) (Staro)
6000 Wari~iCk ROad ~r„ever 1 have cha m domivle
and I resided at ~9~ Y
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since llth _ day of
October 6? 216 West Cas~ino Street Port St.Lucie
- - - . 19 and 1 reside at _ -
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA ~
and this stat~ment is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pe~tinent facts, such as sale of properry or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
i
Establishing residense and applqing for homestead
~~`Ep A~~p RECORO~`A,
gT, WC~£ ~ vE IF1Ep
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~~,g ,l~:.~~ ?a~p - .
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~ ~pUR
~~ERK ~~RCUIT
1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiG~e, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIOA, permanently.
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_:v ; ,',~~f. Jo~ $ ~~~le
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~ - ~ Rubq W. fiagles
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68
~ Sworn to and subscribed before me this 4th day of January ~ 19 .
f ROGER PORRAS
~ CIRCUIT COURT Notary Public
4 g D.C. My Commiuion expires
Y
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(To b~ ~x~cut~d in duplicat~ aed ori~inal fil~d wifi~~i~~it Co i~~uplicat~ wi~h Tax Ass~ssor.) #
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