HomeMy WebLinkAbout0485 D~cla~ation ot Domicil~ and Citiz~nship 17'35~0$
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IIJCIE COUNTY. FLORIOA:
This i: my declention of Damicilt and Gitiz~ntt?ip in ths State of Horida th~t 1 am filinq this day in soo~rdano~ ~+d
in aonformity with Chapter 222, Settion 222.17, Florida Statutes.
I was formKly a leysl rosident of Hflm10IId I11d 18119
(City) (Sta»)
and 1~ided at 7344 Yen Buren Avenue . HovwvK 1 have chan~sd my domidle
(Strost and Numbsr)
ro snd sm and hava been a bona fide rosident of t~e Stats of Fioride :ince Deoember 12
~ 19 6S a~ ~ 2816 So. lOth Street
(Street and Number)
l~ORT MQCE, S~AINT UlCIE COtINTY, RORIDA
and this statement is ro be taken as my declaration of citizenship, actual legsl reiidenos and domidle i~ the State of Horida.
pnsert here any pertinent fact:, such a: sale of propeNy or business, or ralinquishment of employn~snt
at former domicik, romovsl of family ro new domicile, purchase of home, etc.)
Filing ior homeatead ezemption
l
FII.ED AND RECORD~D
ST.R
UCeRp VERIf1ED~A~
i'7350~3
'69 JAN 6 AM 1 ! :
i~~ RAS
RO POIT
; CLER CtRCW7 COURT
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1 FURTHER CHtTIFY that 1 will aomply with all other requirements of e lepal resident of this State.
1 RJRTHER CERTIFY that 1 have no intention to retum to my former domicjle, and 1 intend to mmain in fORT
PIERCE, SA1NT'4U~IE COUNfiY, FLORIDA, permanently.
. _ ,
_ (Name) ~Pilliam oc]cy
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Sworn to and subsuibsd before me this 6th dey of Januery 19 69
RoGER rOITRAS ~
CLERIC CIRCtNT COURT Notsry Public
By O.C. My Commisiwn expires
(fi b~ ~oo~wl~d M d~ aed ari~iwal fk~d wi11~ Cl~elc C~MaiM Cov~t, aad d~plia~h wHh Tax A~wra
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