HomeMy WebLinkAbout2781 163~29~ ;
~ D~claration of Don~icil• and Citize~ship
TO THE STATE AND COUNrIf TAX ASSESSOR,
Sl. WGIE ~OUNTY, FLORIDA: ,
This is my declaration of Domicile and Citize~ship in the State of Florids th~it ! am filinq this day in sooordanoe and
; ~
~n conformity with Chapter 222, Section 222•17. Florida Statutes. ~ ;
I was fo~merly a legal ~esident of Da11aS Ppnn~
~City~ (Stst~)
4
and I resided at ~~~e u Ave t _ Howevaf I havs changec! my domiG~e
(Street and Number) ;
to and am and h~ve been a bona fide resident of the Stsb of florida since 30th day of
September , t4~Z, and 1 reside at 746 Altura St Port St~ i_~.r~~•
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLOitIDA
and this statement is to be taken as my declaration of citizenship, actuel legal re:idence a~d domicile in the State of No~ida.
(Insert here any pertinent fads, such as sale of property or business, or telinquishment of employment t
at former domicile, ~emoval of family to new domicile, purthase of home, ett.) '
Establishing residence and applyin~ for homestead
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FILE~ A~~D RECORDE~ ~
FI.A.
ST. WC4E COU~i
Y~p ,
~ ~~_COR~ 3~• t~+ e~ r~~(~ #
, ' 1Va3l~d.~J - - i
~
i 'GS J~~! 5 PM 2:0~ ;
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: TR~~
. CLERK CIRCUIT COURT
I FURTHER CERTIFY that I will aomply with all other requirements of a layal resident of this State.
~1 FURTHER CERTIFY that I have no intention to return to my former domiG~e, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently. ~
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.y Y\ i 1 IZi D f, - 'r -.1^~ --r r
C`~~• ~ ~
'i ~ ~ P J (Name)
- ~ - ~a " Her~an C. Thomas
~ J ,
' . ' Z - (IC~t~s~q
Alqce G. Thomas
. JanuarY , 19 68
Sworn to and subscribed before me this st~ day of -
ROGER PORRAS
CIRCUIT CO Notary Public
~-~-~-e~
gy O.C. My ~ommission expires
(Te bi ~x~cuhd in dvplicaN and o~iyinal Bl~d with Ct~ric Graiif Co~rf, and duplicat~ wiTh Tax Aa~or.)
~ a~K169
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