HomeMy WebLinkAbout2947 D~claration ot Don~icile a~d Citi:~~ship
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TO THE STATE AND COUNTY TAX ASSESSOR, ~~ZQ~
51. LUGIE COUNTY, FLORIDA:
This i: my detla~stion of Domicile snd Citizenship in the State of Flotida that I am f11in~ this day in aooordanos and
in aonformity with Ghapter 222, Section 2?2.17, Florida Staturo:.
I was formerly a leyal resident of Oak Forreet I111II019
(Ciy) (Stat+)
snd I ro:ided at 15235 S~~ss Cice]eo Avel~ue ~~ve charqsd my domk3le
(Street s~d Number)
ro and am and have been a bons fide ~esident of the State of Florida sinoe OCtOb@r 1 dsy of
, 19-..fi$ and I reside at 124 I,obate7~ 8oad
(St~eet and Number)
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iORT ~{~CE, SAINT LUCIE COUNTY, RORIOA
a~d this statement is to be taken as my declaration of citinenship, actual legal residenca and domicile in the State of Florids.
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pnsert here any pertinent facts, such as sale of properry or busineu, or relinquishment of employment ~
at f~ormer domicile, removal of family to new domicile, purchsse of home, etc.) ,
Intent to file for homeetead eaemption
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I RIRTHER CfftTIFY that 1 will aomply with all other requirem~nn of a lepel residsnt of this State.
1 FURTHER CERTIFY that I have ra intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, S1~~(y;T; LUCIE COUNTY, fLORIDA, permanently. ~
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' _ , _ ~a~~ Charles G. Friedl
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. _ . (Address)
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Sworn to and subscribed before me this 26 dsy of DeCember , ~q~j.8.,
ROGER rOiTRAS .
CL~RK CIRCUIT COURT~ Notary Public
By D.C. My Commiuion expires
(Te b~ ~u~l~d In duplkat~ and oei~inal fil~d wilb Cl~elc Ci~a~it Cou~f, and duplicah wilb Tax At~a~or.) -
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