HomeMy WebLinkAbout2866 Oeala~ation ot t~omictl~ and Cittsenship
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TO THE STATE AND COUNTY TAX ASSESSOR, ~s~~ `
Sl. llK1E COUNTY, FLORIDA:
This is my doclaration of Domicile and ~iti=e~ship in ths State of Florida that 1 am filinq this day in acoo~danve and
in oonformity with Chepter ?22. Sectio~ 222.17. Florida Statut~s.
1 was formerly a legal ~esident of Talsadge OhiO
(~ih) (Stab)
and 1 resided at _ 645 SUOSet BlVd . H~wever ! have charpsd my domicjle
, (Street and Number)
to and am and have been a bona fide re:ident of the Staro of Florids sinos 25tb day of
J1°e , t96? , and ~ restde at 3008 Sunrise Blvd
(Strest and Number) ~
!'ORT r1ERCE, SAINT LUCIE COUNTY, RORIDA '
and this staternent is to be taken as my daclaration of cititenship, actuat legal residence and domicile in fhe State of Flotida.
(Insert h~e any peninent facts, such as sale of property or busineu, or relinquishme~t of emptoyment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
Applqing for homestead
F~LEO AND R~CORpED
ST, IU~~E ~~V ?
RE CORp yERIF1Ep~• .
'68 ~AN g 1s~~36.~
' p~ 3 ~ 09
f;o~~;,
CIERK C1RCV~~ COURT
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1 RIRTHER CEitTiFY that I will oomply with all other requirements of a le~al resident of thls State. ~
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~ 1 FURTHER CERTIFY that 1 have no intention to retum to my former domiCile, and I intend to remain in FORT i
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PIERCE, _SA;1N#~ ~~rSOUNTY, FLORIDA, permanently. F
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j ; - , _ Clara ne Anqlin '
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! ' - GO,,.~` (Address)
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Sworn to and subscribed before me this 9th ~y of ~anau ry ~ ~q 68 _
I ROGER PORRAS
~ CIRCUR COURT Notary Public
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' g Cz"`"'~"~~ ~.C. My G~mmission expires
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i~ Ro b~ ~x~cvhd jn duplksh and ori~inal Abd wfTh Cl~ek qrarit Coue~, and duplitat~ wHh Tax AtNaor.)
600K169 ~2847