HomeMy WebLinkAbout2820 DeClaration ot Domf~fl~ and Citi:enship -163'~C~ _
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TO THE STATE AND COUNTY TAX ASSESSOR,
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Sl. lUC1E COUNTY, FIORIDA: !
This is my decta~ation of ~omicile and Gitizenship in the State of Florida that 1 am filirq thi: dsy in eooo~dan~e and
i~ conformiy with Chapte~ 222, Section 22~.17, Florida Statutes.
1 was forme~ly a legal resident of 11r& KCntI1C~V
(City) (Stah)
and I resided at ~IOrth 1-ake Drive However 1 have chang~d my domitile
(St~eet and Number)
ro and am and have been a bons fide resident of the State of Florida since 3rd day of
_ .~.8nli8r~? , 19~.~, and I reside at 4479 South ~treet and Number) Drive _
FORT PIERCE, SAINT lUC1E COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual le~al residence and domicile in the Stats of HoritJa.
(Insert he~e any pertinent facts, such as sale of propery or business, or relinquiahment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Filing for Hosestead exemption
p pN0 RE~OROFLA.. .
ST~UC1E ~ VER~ED
R~~OR~ 1~
~ 1633~ ~ l: 40
, ~68 ,A~ ~ ,
k0 ~~-K CU? COVR? _ -
~LERK ~~R
1 RIRTHER CERTIFY that I will aomply with all other requirements of a leysl reaident of this State.
I FURTHER CERTIFY that-I have no intention to return to my farmer domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. _
(Nama)~dge Crahaa
(Address)
~'~',>~'~$yv,4m to bnd subsuibed before me this 8th day of J~uary ,~q 68 ,
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~ - = , - -
: ~ - ~ ; ROGER ~OIT~AS ~
CL~RK EIIDC~ COURT Notary' Pu~lic
J"~• ~ D.C. M Commission expires '
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a
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(Te b~ ~x~urNd in duplicat~ and ori~inal fi{~d wifh Cl~elc Cirar~! Canf, snd dupliuN wilb Tax AaNSSOr.)
~ ' f~K~69 ~2801