HomeMy WebLinkAbout0332 Decla~ation ot Domicile and Citizenshi~
.~sssi4
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my declarotion of Domicile and Citizenship in the State ot Florida that 1 am filing thia day in eaordancs and
in conformity with Chapte? 222, Section 222.17, Florida Statutes.
I was formerty a legal resident of Patche¢~~ L. I_ Ner YOZ]~
(City) ($taTe)
and I resided at 193 Munsell 1Zosd . However 1 have changed my domiti~e
(St~eet and Numbe~)
to and am and have been a bona fide resident of ihe State of Florida since 15th day of
_ _ August , ~q 66 , and i reside ar ].Ol N. B. Caprona Avenue
(Street and Number)
Port St. Lucie, Port Fierce, PIa.
PORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be take~ as my declarotion of citizenship, actuat tegat residence and domiciie in the State of Horida.
(Insert here any pert+nent fac?s, such as sale of properiy or busineu, or ~elinquishment of employment
at former domicile, removal of family to new domicite, purchase of home, ett.)
Estab2ish Residency for homestead
FILEO AND RECOROED
ST, lUClE COUNTY. FLA.
^ ~ ~ =~65614
'68 M~R 28 A~I 9 : '~8
.:~i'."r. "•i~1':R:.S
CLERK CIRCUI7 COURT
I FURTHER CHtTIFY that 1 will oomply with atl other requi~ementa of a(e~al resident of thia State.
I FURTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUClE COUNTY, FLORIDA, permanently.
,
(Name)Richard G. Schaefer
~ (Address)
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_ •''~._,5yvei'n,'~qC,r~.~~i~,~tc{ibed before me this Z~tb day of MarCh ~ 19_~_8
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' ~ ;CtERIC_CiitCYi~~URT Notary Public
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8Y ~ D.~. My Gommission expires
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(~o b~ uacut~d in duplicat~ and ori~inal fit~d with Cl~rk Ciraiit Cou~t, and duptiaah with tsx Ats~ssr.j
eo x1?Z PacE 3~
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