HomeMy WebLinkAbout2958 Deciaration of Domicile and Citizenship 165345
T.O THE STATE AND COUNTY TAX ASSESSOR, .
Sl. LUCIE COUNTY, FlOR1~A: ~
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This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in actordance and ~
~n confo~mity with Chapte~ 222, Section 222.17, Flo~ida Statutes. ~
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I was formerly a legal resident of L--C..~~-jt-- T 1> > n~; s - {
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(City) (State)
and 1 resided at _-_-___248 Ruth StrPCt Howeve~ 1 have changed my domiti~e .
(Sireet and Number) ;
,
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to and am and have been a bona fide resident of the State of Florida since _____l~ _ day of ~
______OC_t9~i~!~________, 19~~_, and I reside at RoLte ~ Box 560
(Street and Number)
FORT PIERCE, SAINT LUCiE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, adual 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.)
Estabiish Residency for homestead exemption
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FILED AND RECORDED'
ST. LUCIE COUNTY. FLA ~
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; 1~5345 , ~
~ '68 MAR 19 AM 10. 35 ;
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} c:C::E~.F r r~aS 1
CLERK CIRCUIT COURT ~
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~ I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
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~y 1 FURTHER CERTIFY that I have no intention to return to my former domiCile, and 1 intend to remain in FORT ;
C y
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. E
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~ lo?~o ~ ~ L~~~.?~~~
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~ Mrs. (Name)y~illiam B. Clutter :
~ (Bernice P. Ciutter) ~
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; (Address)
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•hSWOfn to and subscribed before me this 19th day of March , 19~$. ~
~ : ~ . ~ - ~
~ - ~ ROf3ER.P0{TR/1_t
~ ~ CLERK CIR~~1
~T~~ OURT Notary Public
~ ey D.C. My Commission expires
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~ (To bs ~xecvted in dupliufs and oripinal ~il~d witk Cl:rk Circuit Court, snd dupliut~ with Tax Ass~st~r.)
~ ~ooK ~.7U P~ 2944
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