HomeMy WebLinkAbout0930 ~
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~eclaration ot DomiCile a~d Citizenship ~
TO THE STATE ANU COUNTY TAX ASSESSOR, 163980 ~
51. LUCIE COUNTY, FLORIDA:
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This is my declaration of Domicile and Citizenship in the State of Flo~ids that I am filing this day in aaorda~oe and ~
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~n conformity with Chapter 222, Section 222.17, Florida Statutes. 4
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1 was formerly a legal resident of -~CSLOII MAQ~- - i
(City) _ (State) ;
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and 1 resided at _11 Schubert Street ~ ROalilldale . However 1 have changed my domitile i
(St~eet and Numbe~) ~
to and am and have been a bona fide resident of the State of Florida since - day of ;
Januar~_ , ~y~8 , and I reside at RAS A~ rest Blvd
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual lega) residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
st former domicite, removal of family to new domicile, purchase of home, etc.)
Establishing residence and.applying for homestead
F~lEO AND RECOROE~
ST. LUCIE COUNTY. FLq,
~tFCORD VERIFtEO
~ 163980
'68 JAN 31 PM 12: 44 ~
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IIOJE'[ 1'01TR~S ~ ;
CLERK CIRCUIT COURT ~
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I FURTHER CERTIFY that I will oomply wiffi all other requirements of a leyal resident of this State.
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I FURTHER CERTIFY that I have no intention to return to my former domiule, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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,,.~:;:~~~r,:;;,;;:_~ . oz~i,~~ ~
,;..,,il~- - ~o : _ x `
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~ _ (N~ame) ~
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J~` :~~o:• George W. L. ~oring
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~ •'h 31 da of J8D`sry 19 68. ,
~'$~rn-to and~ subscribed before me this y .
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~ ROdER POITRAS
~ CIRCUIT COURT Notary Public
~ gy G~-~G ~ D.C. My Commission expires
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(To b~ ~x~cut~d in dupliwh snd ori~inal Rt~d with Cl~lc Circuit Courf, snd dupliut~ with Tax Ass~aor.)
~ BOOK 170 PAGE 92/
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