HomeMy WebLinkAbout2287 De~la~atio~ of Oomi~il~ and Citisenship j~+2;'~.~
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TO THE STATE AND GOUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FIORIDA:
Thii is my declantion of Domicile and Citizenship in ths State of Horida that 1 am filinq this day in aooorda~oe qnd
in aonformity with Chapter 222, Settion 222.17, florida Statui~as.
1 was fo?msrly a Ie~a1 rosidant of Indianapolis . Indiana
(~ity) (Stat~)
end 1 rosided at 1845 Pisher Avenue .~V1eV~ ~~ve chan~ed my domkile
(Street and Numbe~)
ro and am and have been a bona fide resident of the Stste of Florida sinca December 6 day of
100? York Avenue
, 19 68, and i roside at
(Stroet and Number)
FORT ~ SAINT LNCIE COUNTY, RORIDA
and this staternent is to be taken as my declaration of citizenthip, actual legal residenoe and domicile in ths Stab of Horida. '
qnsert here any pertinent facts, such aa sale of property or business, or mltnquishment of emplo~yment
st former domicile, removal of family to new domici:a, purchase of home, etc.)
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Establishing resideace and filing for homestead exemption
F1LED AND RECORDEO'
ST. I.UCIE COUNTY. FLA. ~
R~CORD VERIFIEO
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'68 DEC 9 PN 2:~ I D
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! ~t P, r~01TRAS _
CLE CIRCUIT COURT
1 FURTHER G£RTIFY that I wiil oomply witfi afl other requirornsnh of a le~al residaSt of-fh}s State. ~
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1 FURTHER CERTIFY that I have ra intention to retum to my former domicjle, and 1 intend fo remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, pe~manently. ~
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~~ii _ ~ Q,: c~i ~z~
: (Name) Charles Richardsoa
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8~w~orn to'ai~}_3ubscribed before me this dsy of , 19 6.~
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~,ROO~. ro~n~?s
p.~RIC t~CUiT COURT Notary Pubiic ~
By .C. My Commiuion expires
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(Te b~ ~x~eul~d ie duplieal~ and ai~inal fll~d whb Cl~ic Cireui~ Coue~, and dupiieah wiN~ Tax A~or.) ~
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