HomeMy WebLinkAbout2733 Declaratio~ ot Dort~icile und Cittzenship
TO THE STATE AND COUNTY TAX ASSESSOR, 1ci3263
51. WCIE COUNTY, FtORIDA:
This is my declaration of Oomicile and Citizenship in the State of Flo•ida that 1 am filing this day in accordance and
~n conformity with Chapte~ 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of _HOrSeh@id _ _ _ ~--Y~rl[
~C;~y~ ~ - (State)
and 1 resided at 31~ _Cg1~dOD AVe. _ However 1 have changed my domitile
(Street and Numl~e~)
ro and am and have been a bona fide resident of the State of Florida si~ce 20th day of
_ _ Septembes-- 19
67 and 1 ~eside at _ 1S?_~B~~ ~ - - -
~ treet and Number)
FORT PIERCE, SAIN? LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida_
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at forme~ domicile, removal of family to new dc~micile, purchase of home, etc.) ~
, Bstablishing residence and applying for homestead
FILEO AND RECORDED
ST. LUCIE COUNTY. F~p; '
RE:CORD VERIFfEO
1632s3 ;
'ss JAN 4 P~1 I: y 9 ~
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~:0:=~?~ ;~ot7~RAS ~
CIERK CIRCUIT COURT ~
;
,
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1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of ihis State.
I FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT.IUCIE COUNTY, FLORIDA, permanently_
, .
_-;``;uiu::::;; j.~~, ;
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c~!, " (Name)
- •:,i. - C6ester R. white ~
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: ''F: ~...r (Address)
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Sworn to and subxribed before me this 4td day of _ Janaurq - ~q 6$ _
.
ROGER POITRAS - - -
K CIRCUIT OURT Notary Public
g 4'`'~~ ~ O.C. My Commission expires
(To b~ ~xecvtod in dupticsb and original filed with Cle?k G~cuit Cou and dupliu» with Tax Assessor.) ~
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