HomeMy WebLinkAbout2577 Declaratio~ ot Domicile and Citizenship j65088
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and ~itizenship in the State of Florida that 1 am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of H=idgc-pGLi---------- - ~~nnnect;cLt _
~~;ty) (State)
and 1 resided at 99 _GrOVC Strect However I havechanged my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since __2$#h day of
N4Yta1]eL-_, 19S!_T-, and I reside at 412 Bl RSD!'hc~ Dr+VC
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, act~al legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establish Residency for homestead eaemption
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FILED AND RECORDED ~
ST. LUC~E COUNTY_n~A
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~ I FURTHER CERTIFY that 1 will comply with atl other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name) Frank V, TOlubinski
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(Address)
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,Sk~ptn tti ancl'shbscribed before me this llth day of -~arCh , 19_b$
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' :~tOGER POI~,~,S~ .
~ : CLERK C~R4U~T COURT Notary Public
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~ By `n . D.C. My Commission expires
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~ (To b~ ~x~cut~d in dupliuts and wipinsl ~ilsd with Cleric Grcuit Court, and dupliu» with Tax Ass~stor.)
~ a~K1?0 P~~2565 . ~
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