HomeMy WebLinkAbout0459 o.a~arauoe a~ oo~n~c~~• a~d citi:.nsh~p i`~'~630
TO THE STATE AND ~COUNTY TAX ~1SSESSOR,
S1. LUCIE GOUNTY. FLORIDA:
Thi~ is my dedantion of Oomicile and Gitiunship In th~ Stats of Ftorida that 1 am filirp this day in aooord~no~ ~nd
in oonformity with Chapt~t 22?. Section 22Z.1T, Flotida Statut~s.
i w.: f«msriy a ie~ei r.•~d~+r of Stettsn Island 8ew York
(City) (State)
i •t 24 Loouet Plaoe my
(Strest and Number) -
ro and am and have been a i~+a fide rosldent of ths Staro of Florida sinos Oetober 21
,~q 68, a~ i~~ ~ 380 Sandia Dri~e (Port St. Zncie)
(Str~set and Nun~)
!'ORT MERCE, SAM~IT LtIClE COUNTY, RORpA
and this staMrr~ent is to be taken as my dedarotion of aN~enship, sctval le~al residenos and domicile in the Stste of Horida.
(Insert hers any pertinent fscrs, auch as sale of propery or bu:iness, or relinquishment of employment
at former domicile, removal of famlly to new domidle, purd~ase of home, etc.)
Declazing reeidenCe in the State of Florida
ead intent to file homeatead ezamption
FilEO ANO RECOR0~0 ~
ST. LUCIE COUNTY. ~LA. _
RECORD VERIFIEb
1'71630
'68 OCT 24 PN 3: 02
~ ~
~ ~
~ ~ GER POIT~
~ C~ERK CIRCUIT COURT' f
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i
1 FURTMER CfRTIFY th~t I wlll oomply with all other requirarwnb of a lepal ~idsrit of this Stah.
1 FURTHER CERTIFY thst I have no intention to retum to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT U1~IE COUNTY, FLORIDA, pemnansntly.
. ~
• ,i~;,,s:~,;u; , , ~a~) • 310 el1
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~ ~ ~ ' ` ' . : , U\ddress)
N~~ .~,.'%ryt:~~s~. '
:sw!i~in
~o ..nd subsaibsd tssfore me this 24 ~y ~ Oetober 19 68
- ~ ~r„!:: G~.,
_
•ROfiER r01TRAS
CLERIC CIRCWT CONRT Notary Pubik
8y D.C. My Commission ~xpi~es
R~ M~oc~rhi M d~°sM~ a~d eei~inai f~d will~ CMelc Ci~wAt Cow~, and d~plieah wiM~ Tax Asw~o~a
BooK i74 456 .
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