HomeMy WebLinkAbout0591 D~claration ot Domi~il~ and Citiz~nship
1'7.3592
TO THE STATE AND COUNTY TAX ASSESSOR,
51. llJC1E COUNTY, FIORIDA:
This is my declarotion of Domicile and Citi~enship in th~ State of Horida that 1 ~m filirq this day in aooordano~ ~nd
in oonformlry with Chapter 2Z2, Settion 22Z.17, Florids Statutes.
~ was form.rly a Ieqe1 resid.M of McKeesport Penn
(City) . (Sta»)
and 1 rosid~d at 2209 He~loCk Dxivc ~~W~!
(Sheet and Number)
ro~nd am and have bsen a bona fide resident of the State of Florida sinoe lOth day of
J~iLY , 19 68, a~ ~ 174 Lucero Drive, Port St. Lucie
~t ~nd Numbsr) ~
roRr n~cE, s~u~ tuc~ couNnr, aoaow
snd thi: statbment is ro bs taken as my deda~atio~ of citizanship, actval legal res'~denoe and domidle in the State of Horida.
qnsert here any pertinent facfs, such as sale of property or bu:iness, or relinquishment of employme~t
at famer domidle, removal of family to new domicile, purchase of home, etc.)
Bstablishing residence and applying for bomestead
FI~ED ANO RECORDED~
S1'.~lUC1E COUNTY. FI.A.
I~FCORQ VERIFIFp
- 1'7~3~92
~ '69 JAN ~ PN 2 : 3q
~
R GER ITRAS ~
~ CLERK CI U!T COURT ~
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I FURTHER G~RTIFY that 1 will aomply with all otF~sr roquire~rwnft of s lepal reskknt of this State.
I FURTHER CERTIFY that I have no intention t~o retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
,,.~.r•,.,,. . J, ~
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~ . ~ Clarian R.Gilbert Jr
. _ ' f ~ ~ . (/4ddress)
~ .r .
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`"9vi~orn to'~i! wbsuibed before me this Tth dey anuary
, 19~2_.
ROGER 'OITRAS
CIRCUtT COURT Notary Public
~r D.C. My ~ommission expi~es
lTe b~ ~aM~d in duplkaN snd o~ioinal fi{~d wilb Cl~lc Ci~c~if Cov~f, and dvpiiaN witl~ Tax As~~.)
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