HomeMy WebLinkAbout0495 acluatio~ of Domicil• and Citis~nship -~~~1~
' TO TNE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY. FIORIDA:
Thi~ is my declsration of Domicile end Citiz~nship in th~ Stats of Florida that I am filin~ thlt day in aooordana ~nd
in confarmity with Chapter 222, S~ction 222.17, Horida Statutet.
~ wa: forn,e~~r a ~pe~ ra'wl~nt of Dorcheeter ffiaae.
(City) (Stab?
and 1 resided at 8 Old Mo]ctOII Street
(Stnet and Numbsr)
to and am and have been a bons fide rosident of the Staro of Horida sinoe ~ DeC. 24 ~y ~
, 19 6S , a~ i~;~ n 5014 Starr Avenue ~
(Street ae~d Numbe~)
fORT MERC~, SAINT LUCiE COUNTY, lLORI~A
and fhis statement is to be taken as my dedaration of dtizenship, actual leyal residenos and domicil~ in the State of Florid~.
pnsert hem any pe~tinent fads, wch as ssls of propery or busi~ess, or relinquishmsnt of employmsnt
at former domkile, ~emoval of family to new domicile, purchsae of home, etc.)
Batabliehing reeidency for homeatead ezemption
F~LE~O aND REC~RDEQ
ST. LU~IE COUNTY. FI;A.
RC~~1R~ VERIFIEO
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~
~ ROy~01TRAS
C~ERK CiRCUiT COURT
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i RJRTHER CHtTIFY th~t 1 will aomply with all oti~ requirarnsnh of • le~al rosldent of thb Sht~. '
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I FURTHER CERTIFY that I have no intention to retum to my former domi4le, and 1 intend to remein in FORT
PIERCE, SAiNT WCIE COUNTY, FLORIDA, permanently.
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. - - pveme) Iven H. Hicke
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.-~Oit,~dfubWibed befOre n'le thti btr~+ da~/ Of T~~nnrv , 19~.
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. .ROGER rOITRAi
CL~RIC CONRT Notary Pubik ~
~ cZr~-t/
gy r/' D.C. My Commission txpiros
lTo b~ ~a~l is drplicat~ and o~l fil~d wilh Clwlc CMarh Co~et. and d~plicat~ wiil~ Tax A~e~a
a~ 1 i5 ~E
~ 49~
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