HomeMy WebLinkAbout0398 O~claration ot Domicil~ ahd Citis~nshlp -~~~4~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FIORIDA:
This is my decla~ation of Domicile and Citiz~nship in th~ State of Fiorida thst I un filinq thi: day in aooo?dano~ end
in conformity with Chapter 222, 5~ction 222.17. Florida Statutes.
~ w~s ~~ir ~ i~i ~~t ~ 1lashinaton, D. C.
(City) (Sta1r)
and 1 rosidsd at 211 I StzeAt ~ SE my ~~,y
(Stnst a~d u~)
ro and am a~d have besn a bona fids resident of the State of Florida sinoe J1x1~ 25th ~y o~
, 19~_, and I rosids at '.jb~ 1[i dwwav Read
(Street and Numbsf)
~ ~c~, s~r cuc~ couNnr, ao~w
and this statement is ro be taken as my declaration of atizenship, actual legai residenoe and domicile in ths Stero of Horids.
pnsert F~e any pertinent facts, such as sale of property or business, or mlinquishment of employn~t
at former don?icile, rertwval of family to new domicite, purchsse of horr~e, ett.)
Filing for homeatead E=e,ption
FILEO AND RECORDED?.,
ST. LUCIE COUNTX. FLA.
R ~~"7~S~~~EO
'69 JAN 2 AM ~
ds~.~ .
I Ro r~ ~ o~TRas
~ CLER CIRCUIT COURT.'
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~ aJRTHEa cE~tnFlr thar ~ wi~~ aomply wFth other requiromsnb ot . tew~ rosFdsnt of this stste.
I FURTHER CFRTIFY that I have no intention to retum to my former domic~le, and I intend to remsin in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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, ~a~~ Frenk B Bryent, Jr
~ . ~
~ . - (/1~ddress)
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S~wo?n b and wbsuibsd bsfore n~ this 2nd ~y , JanuerJ , 19
6~
tOO~R rOfTRl1: ~
NRK CIRCIMT CO~IRT Not~ry Publk
~ ~ ~ D.C. My Commiubn ucpitu
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