HomeMy WebLinkAbout0388 ~h3~~ ~
O~claration ot Domicil~ and Citlz~nship
TO THE STATE AND COUNTY TAX ASSESSOR, ~
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S1. LUCIE COUNTY, FIORIDA: ~
This 1s my detlantion of Domicile and ~tizenship in ths State of Florida that 1 am filinq thi: day in saoord~nos end
in aonfo?mity with Chapte~ 22Z, Settlon 22~.17, Florida Statutes.
1 wss formsrly a le~al rosid~nt of Ancram Aew York ~
(City) (Stat~)
Route 82 ,
and 1 rosld~d et . hlowever 1 haw chan~sd my domtdle ~
(Strest and Number)
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ro and am and have been a bona fide resident of the Stste of Fiorida sinae NOV. 20 ~y
, 19-~$ and i reside at 4409 Metze~c RoBd
(5heet and Number) ,
IrORT NQCE, SAINT LUCIE COUNTY, RORIDA
and this :tatement is to be take~ as my declaration of citi~nship, sctual leyal res'~denos and domicile in ths Stats of Florlda.
qnsert here any pertinent facts, wch as sale of properry or business, or mlinquishmsnt of employment ~
at forn~ domicile, removai of family to new domicile, purchase of hane, etc.) (
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for filing for homeetead and reeident purpoaes
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_ ~~,~q..ANp, RECORDED
S; ; ~TIC~~-~COUNTY. ~LA.
uci.Oh'~G VER1FlED
1'73~.40
; '69 .fGN 2 ~ AM 10 : 5
r i~~u
s::.~~.~~;~ ~=q,~.~~.as
G4~K~~Cj~.GU1~- C4URT .
i RJRTFIER GfRTIFY that i will aomply with sll ott~ roquirerrwnts of a le~al resident of thi: State.
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I fURTHER CERTIFY that I have no intention to retum to my fomner domicile, and I intend to remain in FORT
PIERCE, SAINT WClE COUNTY, FLORIDA, permanently.
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Swor~r }"o.•and subsaibed before me this 2IId day of January . 19 69 • ~
ROGER rO1TRAS
tlERK CIRWR COYRT Notary Public ,
By D.C. My Commitsion expires
(Te b~ ~x~aM~d i~ d~pNcab and ai~al fi{~d wMb Cl~lc Cinarit Co~rt, and d~aN wi/b Tax A~era
„ ~ 175 ~ 387
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