HomeMy WebLinkAbout0410 ~ti 3~'~~1
O~cla~ation ot Domicil• and Cit~~nshlp
TO THE STATE AND COUNTY TAX ASSESSOR.
Sl. IUCIE GOUNTIf, FLORIDA:
This Is my declantion of Oomicile and Citizenship in the State of Florida that 1 am fllinq this day in aooordano~ and
in oonformity with Chapter 222, Section 222.17, Flaida StatuMs.
i wa: formerly a leqal rosident of Brooklyn N• y•
(City) (Sta1~)
201 Engert Street
and 1 rosided et . However I hsve chan~d my domic3l~
(Stnet and Number)
to snd sm and have been a bona fide msident of the State of Flaida sinoe Feb . 29 ~y ~
, ~9..fi8_, end I res~de at 306 N. 27th Street ~
(Str~et and Number)
ro~ MaecE, s~u~ ~uc~ cou~m, ao~ow
and this statement is to be taken as my declatation of citizenship, actusl legal residenoe a~d domidla in fhe State of Horida.
pnsert here any pertinent facts, wch as sale of propery or business, or relinquishment of employmer~t
at former domicile, mrnoval of family to new domicile, purchsse of twrr~e, etc.)
Filing for homeatead eaemption
FILEO AND RECORDED
ST. LUCIE COUNTY. FLA.
.1~345~~ ~Eo
'69 JA~! 2 PM 2: 31
' :y~
~ r•: - ~ ~o~rRas
I CLERK CIRCUlT COURT
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1 FURTHER CHtTIFlf that I will aomply with all other rsquir~rrNnts of a le~al resident of this State.
1 fURTHER CERTIFY that 1 have no intention to retum to my former domitile, and i intend to remain in FORT
PIERCE, SAINT U1CIE-COUNTY, FLORIDA, permanently.
~ `.~`~`:i~'!',- ~ ` lYV
1' 'S''- ` • . Me~~ Louie 1lerner
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- • ~ .l ; (~lddress)
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~~~Swdrn'so and wbscribed before me this 2nd day ~ Januar9 , 19 69 .
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ROGER ~OITRAS
CLERK CIRCUIT Notsry Public
8y D.C. My Commiuion expires
R. b..o~.w1.a i~ d~p~s.~..,~d e~inal Al.a w~ a.~iC cina~k cou.~, .~a aupliu~. wi~~ Tax A~....o~a
ao~1~"t5 ~ 40~
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