HomeMy WebLinkAbout1797 i
Declaratlon of DorniCile and Cltizenship ~s4~~,1
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TO THE STATE AND COUNTY TAX ASSESSOR, '
51. LUCIE COUNTY, FLORIUA;
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am fiiing !his day in accordence and
in conformity with Chapte~ 222, Section 222.17, Florida Statutes.
COLUI~IBUS IND,
I was formerly a legal resident of _ . _ _ _
(City) (State)
and 1 reseded at _ Rt . s However 1 have changed my domiCile
(Street and Number)
to and am a~d have been a bona fide resident of the State of Florida since _ 1St day of
August 67 301 N. 17th St.
_ _ _ . _ . _ 19- , and I reside at - -
(Street and Number)
FORT PIERCE, SAiNT LUCIE COUNTY, FLORIDA
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and this statement is to be taken as my declaration of citizenship, actual legai residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or retinquishmeni of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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FILING FOR HOMESTBAD PURPOSES
FILEO AND RECOROED~
ST. WCIE CQUNTY. FI.A.
:~t ^'1" :'"F!~'?-.~
'68 f EB t 5 PM 14
: js~57'.i
CL~RK CIRC!!IT COURT
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~ I FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
i 1 FURTHER CERTIFY that I have no intenlion to return to my former domiCile, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permane~tfy.
( . ' ~ v .
_ ` ( me)
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~ L ~FIAYD NALL, .JR.
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'I : ~ ; ' ~ - . _ (Address)
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~,'--.Swom~fo~aria,subscribed before me this _ l.Oth day of _ Februar~ , ~q~,g_,
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ROGER IT ;
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C~ER IR COURT Notary Public -
BY D.C. My ~ommission expires
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i (To bs execut in duplicats and original fifed with Clerk Grcuit Court, and dupliut~ with Tax Assessor.) ~
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_ ~ aQ~i70 ~17'92
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