HomeMy WebLinkAbout0011 ~ecla~atlon ot Domicile and Citise~ship
TO THE STATE AND COUNTY TAX ASSESSOR, ~63~vS
Sl, lUClE COUNTY, FIORIDA:
This is my declaration of ~omicile and Citizenship in ths State of Florida that 1 am fili~g this dsy in aaordance and
~n conformity with Chapte~ 222, Section 222.17, Flo~ida Statufes.
1 was formerly a legal resident of g~80II $B1~ Jeresy
(Ciy) (State)
and I resided at -~8k1100d I,821e FlQweve~ t have changacl my domic,ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida si~ce 18th day of
_ govember , 19 67, and 1 re:ide at 398 SO ~18x'8II~8 Aye. Port St. L1iC1e
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and tiiis statement is to be taken as my declaretion of citizenship, attuel legel residence and domitile in 1he Stale of Horlda.
(Insert here any pertinent fads, such as sale of property or busincss, or relinquishment of employment
at former domicile, remova! of family to new domicile, purchese of home, etc.)
Eatabliehing residence and applyina for homestead
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1 FUR7HER CERTIFY that I will oomply with all other requiraments of a le~al resident of fhis State. ~
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1 FURTHER CERTIFY that 1 have no intention to return to my former domicjle, and t intend to remain in FORT ~
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PlERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. i
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'~l~i~ . . • !~i ~t~~R~r~.
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~ _ ; ; (Name) ;
`s" : ~ ~ i ; William M ~reverton ~
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S`wor,n fo a~id•stibscribed before me this 15th day of J~B'r3~ ~q 68 ;
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ROGER ~OITRAS ~
tLERK CIRCUIT COURT Notary Public ?
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BY ~ ~ D.C. My ~ommission expires
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(To b~ ~x~cuhd in dupliub and onpinal Al~d w8h CIKk Ci?cuh Couet, and duptiut~ with Tax Ass~sior.) ;
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