HomeMy WebLinkAbout2209 1668~8
Decla~~tio~ ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCtE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in aoco~dance and
~n conformiy with Chapter 422, Section 222.17, Flo~ida Statutes.
I was formerly a legal ~es~d~,t of -A_pittsburgh Pena. _
~C;y j (Stata)
and I resided at _ 416 Chal~tauqua StreCt Hcwever 1 have changed my domiCile ;
(Street and Numberj
to and am and have been a bona fide resident of the State of Florida since _ 9th day of
APril , ~q
68, and I reside ai $?5 Airoso Blvd. Port St. Lucie
Fort Pierce, Florida (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my decfaration of citizenship, actual legal residente and domicile in the State of Horida.
(Insert here a~y pertinent fads, such as sale of property or business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
purpose is to obtain homestead exemption
at 87S Airoso Blvd. port St. Lucie, Plorida
FtL~O AND RECORDEaI_. ~
ST. IUC~E COUNTY. FLA. ~
RcCOR~ VFRlF~ED j
1668'78 ~
'68 MAY 7 AN 1 I: 4 3
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I ~;;E:R 'OITRAS
CLERK CIRCUIT COURT
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1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of thia State.
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PlERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ (Name) oseph R. 8abeth
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(Address) 875 Alroso t.
~ Port St. Lucie
~ Ft. Pierce, Fla.
~ Swom to and suburibed before me this 7th day of ~Y , 19 68
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~ Ili~l~;~SU~lT Notary Publi~
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By . D.C. My Commission expires
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(To b3 'ift~uNrd'i~, upliwt~ and ori~inal filed with G~elc Circuit Couirt, snd dupliwb wiM~ Tax Ass~ssor.) .
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