HomeMy WebLinkAbout2648 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, F~oR~oA: 165132 ~
This is my declaration of Domicile and Citi2enship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes. ~
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I tivas forme~ly a legal resident of _____HBYIL-YaTIC- C.~a[--- NRw vnrk ;
(Ciry) (State) i
t
5044 214 Street Ba side L I ~
and 1 ~esided at y However 1 have changed my domiGi~e ~
(Street and Number) ~
to and am and have been a bona fide resident of the State of Florida since day of .
~ept.- 19~~, and I reside at ~ Port St I,Lt~i~_
(Street and Number) ~
FORT PIERCE, SAINT LUCIE COUNTY, FLORIOA '
and this statement is to be taken as my declaration of citizenship, actuat legat 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.)
Establishing residence. and applying for homestead
F~LEp AND RECORDED'._
ST. LUC?E COUpTF ~n~A•
`'E~ ~ ~ ~ ~ 165132
'68 MAR ~ Z pM 2: 26~~
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~ ,~;J_~~ ;-q'TF. OVRT
CLERK CIRCVI? ~
I FURTHER CERTIFY that I will comply with al1 other requirements of a legal resident of this State.
1 fURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
.
PIERGF;~Sq1N~,~1C~f COUNTY, FLORIDA, permanently.
. , ~ % , , i~~ ' ~i~
. ~ T~ ~
_ : . _ (Name)
_ ~ . : ; = W'~am i e n
` - . ~ . . . . :
, •
~ i, ...~o *Adcb~ wife
~ Ruth E. Kinkelin
Sworn to and subscribed before me this 12th day of ?~arCh , 19~8
ROGER POITRAS
K CIRCUIT URT Notary Public
~-L-la..c~
gy D.C. My Commission expires _
i
(To be executed in dupliute and originsl Rled with Cl~rk Grcuit Court, snd duplipt~ with Tax Ass~ssor.) f
~ a oK 1"!o o~~ zs~s
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