HomeMy WebLinkAbout2780 Oeclaration ot Domicil• and Citizenshlp 163'~S
TO THE STATE AND COI~NTY TAX ASSESSOR, '
Sl. IUCIE COUNTY, FLORIDA:
This is my declaratio~ of Oomicile and Citizenship in the State of Florida that 1 am filing this day i~ acoordanoe and
~n c~onform;ty with Chapte~ 22?, Section 222. ~7, Florida Sy~tutes.
I was formerly a legal ~esident of Helmetta N@w erseq
(City) ~Stets)
and 1 resided at ~ 5 High Street However I havechan9ed my domitile ~
(Street and Number)
llth ,
to and am and have been a bona fide ~esident of the State of Florida si~ce day of
December ,~~9
67 and I r~ide ar 2108 Golfview Court
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FtORIDA
~
and th;s statement is to be taken as my declaration of citizenship, actual legal retidence and domicile in the State of Horida.
(Inse~t here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing rtsidence and app2ying for homestead
RECOR0~0
FILED 1E CpUNTY. FLA•
ss• L~
oR~ v~R~~'E i632~~3 ~
1 ~ '
. ~
JQ~1 5 p~ ~ : 51 ` ;
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~ COVRT ~
CL~ RK C - ~
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I FURTHER CERTIFY that I wil) oompiy with all other requi~ements of a leyal reside~t of this State.
1 FURTHER _CERTIFY lhat 1 have no intention to retum to my former domicjle, and 1 intend to remain in FORT t
PIERCE, SAI UftE~COUNTY, FtORIDA, permanently. ~
!`~T;~4....
• ..;,1_ ~ .,;;r~,;
, . ~ • L v - ~ i~(~(/.~LQ.~ :
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- ~ ~ ~ _ J"o ~ • - (Name) i
• I~ . Robert C~West
L~;
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iiL ' QO~aMd~ifi~ ;
,t; Margaret W. ~est
Sworn to and subxribed before me this S*h day of JaDUe~iy ~ 19 6$
~
ROdER rO1TRA5 ~
CIRCUIT COURT Notary Public
1
8Y D.C. - My Commiuion expires ~
tTe b~ ~c~cvhd in dvplicat~ and ori~insl ~il~d wi~h C1Kk Cira~it Coue~, and dvplicai~ will~ Tax Aa~or.)
~ a~K169 ~2761