HomeMy WebLinkAbout2636 1~~!~96
D~cla~atio~ ot Domlall~ a~d CitisMShip
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lllClE COUNTY, FIORIDA:
Thls is my d~clention of Oomicil~ and Citis~nship ln th~ Staro of Haida that ! am filin~ this day in aooordana ~~d
in oonformit~? with Chspter 222. Settion 242.17, Florida StetuMs.
1 wat formerly a le~al resident of T~ake~ent Pei~sylvaIIiB
(City) (Sta»)
and I rosided at 2Q1 S~~nnd Avenne . HowwK 1 haw cM~psd my domidl~
(Stre~t and Numbsr)
to and am and have baen a bona fide msid~nt of thu State of Florida sinoe 3rd dey of
~~r , 19_Iz$ and 1 reside at 1~g T•ucere Drive ~
(Street ~~d Numbsr)
~
roRt s~?a~ tuc~ couNnr, aoRrow
and this :tatemant is to be tsken as my dsda~atlon of ati~enship, actual lagal residenoe and domicile in the State of flortd~.
pnsert hero sny pertine~t fscts, such as sale of property or business, or rolinqulshment of employment
at formsr domicile, romoval of family ro new domicile, purchass of home, etc.)
Establiah resi8ency ior homestead
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RECOR~Ep -
FILEO E ~OUNTY. ~l.A•
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p R~~~~R~UIT COVRZ~
[ ~I.ERK
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i FURTHER C~ltTIFY that I will aomply with all ath~r roquire~rwnts of • leyal resident of thk Stah.
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1 fURTHER CERTIFY thst I have no intention to retum to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
' Ma ~Joe h Zaring IIleh ~
l;
E
t
138 Lucero Dr.
~ S~worn.tct~sa~l~icabi.uibsd before ms this ],fi.+~'+ day of Decemb~r , 19 68,
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ca !'~i~IC C~CtIR CQV~T Notary Publk
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By. D.C. My Commission expi~es
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~T. b. .oo.wl.a iu d~pNeal~. .ad e~ fN.a wid~ u.r~C cMa~it c.wt, .nd d~plk~. wUb T.oc Aw...o~a
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