HomeMy WebLinkAbout0486 D~cla~ation ot Domicll~ and Citi~~nship 1~,35t?~
TO THE STATE ANG COUNTY TAX ASSESSOR,
St. LUCIE COUNTY, FlOR1~A:
This is my declantiom of Domicile and Gitise~uhip in th~ Stats of Florida th~t 1 am filinq this day in aooordano~ qnd
in oonfo?mity with Chapter 222, Settio~ 222.17, Flo~ida Statutes.
I wu formsrly a leqal rosidu~t of F81rf e?Z oA • i
l~iy) (Sta»)
a~' .t 3623 Parklane Road ~ 1 ~ ~~~e
~t and Numbsr) '
ro and am and have baen a bona fids rosldent of the Stste of Florida sinoe Jan. 1
,~9 68 , and I ros~de at Route 2, Bo~c 3?79-45
(Straet a~d Nurnbar)
RO~RT ~ S~AINT WCIi COUNTY, RORIOA
and this ststament is to be taken as my dsda~ation of citi~enship, actual lagal residenoe and domidle in tha State o~ Horida.
pnsert hero any pertine~t facts, such ss sale of property or business, or roljnquishment of empiaymeM
at former domicile, removal of family to new domiale, purchase of home, ett.)
Filiag for ho~estead ezemption
,
~IL.~O AND RE,~ qROF A.
ST. L~ CI~ CVERTFI~D
R__CORC
1`73509
'69 dAN 6 IW I 1'~~
~
; is~
! R ER POITRAS
~ CLERK CIRCUIT COURT
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e
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1 FURTHER C'HtTIFY that 1 will aomply with all othsr roquiroments of a lepal r~ident of this St~te.
I FURTHER CERTIFY that i have no intention to retum to my former domicjle, and I intend to romain in FORT
PIERCE, SAINT LtKI~ COUNTY, FLORIDA, permanently.
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,,,i,?•J _ ~ Y~ ~p `
_ : ~ (Name) Edward D. Reid
.;f • = t_
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-_n ~ -
~ i ~ _ ~ : (Atldress)
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~'sw~ormw•'and~wlosaibed before me this 6th ~y ~ Januery 19 . 9
ROOEt ~OITRAS
CLERIC C~CWT COtjRT Notary Pubik
By D.C. My Commission axpires
R~ b~ ~o~cuNel in dupWcal~. and ori~inal Al~d wub G«k Ci~wiil c~owt, and duplkat~ wilh Tax A~awra
~ ~o~ 17'S PAGE 4~4
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