HomeMy WebLinkAbout0560 O~Clarat~o~ ot Domicll~ and Citis~nship .j,'~'~5"70
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my daclaration of Oomicile and Citizenship in the State of Florid~ thst 1 am filinq this day in eooordanw ~~d
in aonformit~r with Chapter 2?2. Section 224.17, Florida Ststutes.
i w.s ~msr~y a leqal ~esid~nt of Hemiliton MBes •
_ (Ciy) iSta»)
24 Bridge Street
snd 1 rotidsd at tb~v~ I haw ch~rqsd my domWle
(Stroef and Numbsr)
to and am and have bsen a bona fids resident of the Ststs of Florida sinae O~tQber 21 ~y ~
~ ~q 68 ~ a~ ~ 1305 Sen ~ Diego
. (Stree~ and Number)
~ORT S~AINT LIlC~ COUNTY, lLORIDA
and this statan~s~t is ro be tsken as my declaration of citi~enship, actual legal residenoe and domkile in ths State of Horida.
pnsert hem any pertine~t fads, such as sale of property or businsss, or ~elinquishment of emplayment
at formsr domidle, romoval of family to new domiale, purchase of home, etc.)
Filing for homestead e=emptioa
, ~ILEO ~AND RECO~OED ~
SY. LUC1~ CbUNTY."i~L.A,
" •R~CORO VERI~IED
1`735'70
'69 JAN AN 11: 0 ~
i
RO POITRA$ j
; CLER CIRCUIT COURT ~
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1 FURTHER GfRTIFY that I wili oomply with sii othsr roquirerr~enb of a lepal r~idsnt of this State. j
1 FURTHER CERTIFY that I have no intention to retum to my former domivle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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,~SvPw~i.~~and wbsuibed before me this 7th ~,y ~ Januery 19 69
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ROGER ~OITRIIS
C~IC C~CNR CONRT Notary Public
By D.C. , My Commisiwn expiros
(T~ b~ ~oawl~i M dupiial~ and ~i~inal Al~d wilb CM~k Cina~it Cew1, aed duplial~ wifb Taoc As~wrJ
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