HomeMy WebLinkAbout2978 163441
Declaration ot Domicile and Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR, ~
~
Sl. LUCIE COUNTY, FLORIDA:
This is my declarotion of Domicile and Citizenship ~n the State of Flo~ida that I am filing this day in eco~rdanoe snd
~n co~formity with Chapter 224, Sectio~ 224.17, Flo~ida Statutes. ~
,
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i
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1 was formerly a legal resident of ~SBV I LLB N. Y. j
~~ity~ (Sta») ~
~
,
Liberty St.
and I resided at ~ Howevef I have chan~ed my dcmic3le
(Street and Number)
~ ~ 24th da of
ro and am and have been a bone fide ~esident of the State of Florida since Y
• November 67 1805 Havana I~ve.
_ , 19 and I resid~ at
. (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, A,ORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence snd domicile in the State of Horid~.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to ~ew domicile, purchase of home, etc.)
FILING FOR HOMESTB~W PURPOSBS
FILED AN~ RECOROED~ ~ ~
~ ST.RECORO VERIFIEDLA. ~ :
~
163441 E
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'68 JAN ! I PM 3: 36 - ~
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NOGEF, r OITF2~S ~
CLERK CIRCUIT COURT ~
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I FURTHER G'ERTIFY that 1 will comply with all other requirements of a legsl resident of this State.
I FURTHER CERTIFlf that 1 have no intention to return to my former domiti~e, and I intend to remain in FORT ;
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
_ ~ ~L~ -~!-c2 ~ l..
(Name)
MRS . RLTrH N . MARSHALL
, (Address)
;~1', ` ~ ~ '
' ti
fj•~w'••
~~1
.
' ~ ~ ~~%:f~.= llth January 68
' :~-~"'-Swonp ~anc~subsuibed before me this day of . 19 •
_•:t.~ W,~ C~~
_ •
• . •
~ N~~ .
~ ~ ~
~ . - •
~RI~' COURT Notary Public
gy D.C. My ~ommiuion expires -
(To b~ ~x in duplicat~ snd ori~insl ~il~d with Cl~lc Cirwit Cour~, and duplicat~ with Tax A~xor.)
So~169 ~2959
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