HomeMy WebLinkAbout2778 163~'~ i
~eCla~ation ot Oon~icile a~d Gitizenship
TO THE STATE /WD tOUNTY TAX ASSESSpR,
Si . WCIE COUNTY, FLORIDA:
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This is my decla~ation of Oomicile and Citizenship in the State of Florids that 1 am filing this day in eooordanos and '
~n oonformity with Chapter ?22, Sectior~ 22?,17, Florids Statutes.
1 was formerly a legal resident of Pn rt t and Main
(City) (Stafs) y
and t ~esided at ~F D,._ 1~ 1~ard Avenue Flcwevsr 1 have changed my domitile
(Street and Number)
~o and am and have been a bona fide resident of the Stste of florids since -u#~- dsy of
_Ahril ,~9~~, and I reside at Bel Air Estates, 11? Ioperial way ~
(Street and Number) ~
!
FORT PIERCE, SAIN? WCIE COUNTY, FLORI~A
and this statement is to be taken as my declaration of citizenship, attual legal re:idence and domicile in fhe State of Horidb.
(Insert here any pertinent facts, such as ssle of propery or business, or relinquisFxnent of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
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FILEO AND R~CORDED,~stablish Residency '
ST. I.UCIE COUPJTY. FLd' i
~ RE C(1R~ V~R1~l~p ~
~ for homestead exemption purpases. ;
'68 JAN 5 AM I I: 5 4 ~ '
i63296 - .
=-c.~ -.o;7a;,s
' ~ CL~RK CIRCUI7 COURT .
I FURTHER CHtTIFY that 1 will oomply with all othe~ ~equireme~ts of a leyal ~esident of this Stafe.
1 FURTHER CERTIFY that ! have no intention to return to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
(Name) ~f[Z~~7c~fft
Durn S. Rowe ~
~ • (Address)
Sworn to an~l~wbscribed before me this Sth day of January ~ 19 68
: -
• . ROa~R l~1T1[AS .
- -"C~E(tK CI~Z~NT COURT Notary Public
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SY D.C. My Commission expires ~
(To b~ ~x~cvhd in duplkah and o~i~inal fibd wjfh ClNk Grcvif Cour~, snd dupliuN wi~h Tax Ass~aor.) .
~~6~ ~z759 ,