HomeMy WebLinkAbout2928 Decla~atio~ ot Domicil~ and Cittse~ship
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i63406 .
TO THE STATE ANO CWNTY TAX /?SSESSOR,
Sl. lUC1E COUNTY, FlOR1~A:
This is my declaration of Domicils and Citizenship in ths State of Florida that 1 am filin~ this day in sooord~nos and
~n oonfo~mity with Chapter 27~, Section Z22.17, Florida Statutes.
! was formerly a legal resident of wOrth I11~nO1S i~
(City) (State) l
and I resided at ~ ~ 2?10 SO N 836vi lle ,~~y~ ~~ve ~n~ my ~itile
(Street ana) Number)
ro and am and have been a bona fide ~esident of the State of Florida since ~ 26th ~y ~
October , 19 67, and 1 r~ide at _ 2019 Golfview Court ;
~ - (Shaet and Number)
fORT PIERCE, SAINT IUCIE COUNTY, RORIDA
and this statement is to be taken es my detlaration of citizer~ship, actua! legal re:idence and domitile in the Stete of Horida.
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(Insert here any pertinent fatts, such a: sale of property or business, or relinquishment of employment '
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence and applying for homestead
FILEO ANO RECORDEO
S7.F~E ~ ~C ~VRIFIEO~.
1634~6
!se saN i i a~ ~o : 3° ~
,
~ ~,L;s ~ P.~S ~
CLERK CIRCUI7 COUR7
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I RIRTHER ~ERTIFY that I will aomply with all other raquirsme~ts of a le~al res'ident of this State. ?
1 fURTHER CERTIFY that i have ~o inrention to retum to my former domicale, and 1 intend to remain in FOR7
PIERCE, S~IT:I,~~CIE COl1NTY, FLORIDA, permanently.
i. L n~,''~~;
:.''''~j'%' , / -
' J
= ~ ' _ ' ~ + : Name
~ Elaine ~ous~ ( Mrs Robert )
y . • • -
. ' . . , ~
. ~ ; In i r ".C 1 ' ~~feSS) !
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Sw~rn to and subsuibed before me this llt~ day of JaAaury ~ 19 68 `
ROGER ~OITRAS ~
CIRCUR COURT Notary Public S
i
gy a~'`~~ D.C. My Commiuion expires '
(To b~ ~narhd in d~pNcab snd oei~inal Ahd with tlKic ~ra~ Cour~, and d~plica/~ wHh fax As~wa
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