HomeMy WebLinkAbout0557 O~cla~atlon ot Domi~il~ ~nd Citis~nship ~~3~5~
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TO THE STATE AND GOUNTY TAX ASSESSOR, ~f
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51. LlJC1E COUNTY, FtORI~A:
This is my decla?ation of Domicile and Citiunship in the State of Horid~ that 1 am filinq this day in aooorda~a and
in conformity with ChaptK 224. Settion 222.17, Florida Statuhs.
Pitte. Penn.
I wa: formerly a~ leqal rosida~t of
(C;tY) (Stst~S
120 Frederick Street (
and 1 rosldsd at . F~bwevK I have chan~sd my domidk ~
(Street and Numbsr)
ro and am and have baen a bo~a fide msident of the Stsro of Florida sinoe September 20 ~y
,~q 68, a~ i~~ ~ 401 Solaa Avenue
(Strast sred Number)
l~ORT M~, SAlN? LUCIE COUNTY, FLORIDA
and this staterr~snt is to be taken as my declaration of citizenship, actuai legai ~esidenoe and domicile in the Stats of Horida.
pnsert here any pertinent facts, such as sale of property or business, or rclinquishment of employmant
at formar domicile, removal of family to new domidle, purchase of horr~e, etc.)
Filing for honeatead ezemption
~'~tEO AND ~ RECOADED
ST. LUCIE COUNTY. Fi,p, ~
RFCORD ~/ERIFtEO ~
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~.~3~s~
'69 JANO 1 AM I I: 04
i~iG
f~QG 'OITR~S
,
' CLERK CIRCUIT COURT~
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1 FURTHER ~fltTIFY that I will oomply wHh all ott~er roquiromenh of a lepal rosident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intent~ to remain in FORT
PiER~E, SAINT UKIE COUNTY, FLORIDA, permanently.
. . - ? •
' . :f. (Name) J hD F. Milan.
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~ _ ~ - . ~ ' - _ (~lddress) 1
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~ ~ ?th Januery 6g ;
..,;~•-Swor~ tv'a~;~d.subsuibed before me this day of , 19 -
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. Rooe~ roR~?s
CLERK C~CWT COURT Notary Public
By D.C. ~ My Gommiu'wn expires
(Te b~ ~oaerNd iA dvpNeaN aed e~i~al fiNd wilb C1~ic Ciraril Cwef, and d~piieaN witb Tavc A~era
~~OK Pi18E
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