HomeMy WebLinkAbout2153 , 164803
Declaration ot DomlCile and Cittzenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA: '
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This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and '
in conformity with Chapter 222, Section 22~.17, Florida Stetutes.
DEARBURN HEIGHTS MI~~
1 was formerly a legal resident of _ _ - -
(City) (State)
and I res~ded ar 585?_Evergreen Rd. Apt. 1 . However I have changed my domicjle
(Street and Number) ~
to and am and have been a bona fide resident of the State of Florida since 30th day of ~
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~w~e 14
6?_, and I reside at _ 602 Be6Ch Ave.
(Street and Number)
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FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA - €
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. ?
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(tnsert here any pertinent facts, such as sale of property or business, or ~elinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, ett.)
FIZING FOR HOMESTEAD PURPOSES =
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FIIED AND RECORDED'
ST. LUCIE C~UDJTY. FLA.
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'68 FE6 2 9 A!?I I I: 5 1 3
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; C~ERK CIR~UIT COURT
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1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
t FURTHER CERTtFY that I have no intention to return to my former do icjle, a intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ (Name)
~H T . D. STILWELI,
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~ 29th FEBRUARY 68
~ _ '~~WSwo~d~~ad'sgbsc.~bed before me this day of , 19 .
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~ C~ 1 COURT Notary P~blic ~
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~ By ~ D.C. My Commission expires ~
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~ (To bs execut in dupliut~ snd original filsd with Clerk Grcuit Court, and dupliwts with Tax Assessor.) ~
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