HomeMy WebLinkAbout0474 O~cla~ation ot Domiafl~ and Citt=~nship 1?~,~~~
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, RORIDA:
This i: my declaration of Oomicile ~nd Citi~sn~ip in ths State of Horida that 1 am filinq this day i~ aooordano~ ~nd
i~ oonformit~? with ~hspt~r 222, S~ction 222.17, Flaida Statutes.
~ w~s tam.~~X ~ ~pa~ ros~d~,t of Bradahsx Weat Virginia
(CitY) tStah)
.~d i ~tdsd ar Jolo West Va. . ~ i ~
(Str~t a~d Number)
ro a~d am snd have baen a bona fids msident of the State of Horida sinoe ~''~Y 1S ,
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, 19 68 , and 1 roside at Rt. 4, Box 740 ~
' (Street and Number) _
1y0RT S~AINT LUC~ COUMY, RORqA
a~d this staterr~ent is to be take~ as my dsdaratio~ of citizenship, attual lepsl rasidenoe and domicile in the State of Horida.
pnsert here any pertinent fach, wch as sale of propert~r or bu:iness, or relinquishment of employm~nt
at forn~ domkile, romoval of family to new domiale, purd~ase of home, etc.)
applying for ho~estead exemption -
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FILEO aND RECORDED
ST. LUCIE COUNTY. FLA.
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'69 JAN 6 AMI 10 : 53
RO POITRAS•
CLERK CIRCUIT C~URT
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I FURTHER CHtTIFY that I wili comply with all othsr nquire~rwnts of a lepal r~ident of thi~ State.
I FURTHER CERTIFY that I have no intention to mtum to my former domicjle, and i intend to remain in FORT
PIER~, SAINT WCIE COUNTY, FLORIDA, permanenNy.
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(Name) s La~cton
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-',•~~`•Swu~n-~o and~s~tacrxbsd before me this 6th ~y ~ January 19 69 .
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~ v'~ ~f~K C~;COURT Notary Public
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~y ' . ' D.C. My Gommission expires
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~(~i ~~aaNd iw d~plkal~ aad orioinal Al~d wilb C1~ic Ci~arit Cow~, and d~ wi1i~ Taac A~~.1
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