HomeMy WebLinkAbout0658 O~claration ot Domicit• a~d Citis~nship
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LlJC1E COUNTY. FLORI~A:
This i: my declsntion of Domicile and Citiz~nship i~ ths Staro of Horida thst 1~m filin~ this day in ~ooordanoe qnd
in conformity with Chapte~ 22~, Ssction 222.17, Florida Statutes.
I wa: formerly a le~al rosident of S t. Lo u i s ~
(City) (Stah)
and ~ ros;dsd st 3644 A MRrcelihe Terrace R,~,
(Sneet and Number)
to a~d am a~d have been a bona fids roside~t of the State of Florids sinoe 28th
J anuarv , t9 68, and ~ roside ar 1000Z. So Ind RiverDrive
(Strest and Number)
lORT MERC~, SAINT LIIC~ COUNTY, RORIDA
and this statament is to be taken as my declaration of citizenship, actual legsl residenoe and domiale in the State of Horida.
pn~t hers any pe~tinent facts, such as sale of property or busi~ess, or rolinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence and applying fo;X homestead
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FI~EO AND RECOR~EO
ST. LUCIE COUNT~ . ~tA.
~o~n v~R~ ~u ,1'73~4
'S9 J~;!~ 8 PM I: 3 0
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! f1o ~ ~:F Por~~tas
; CLERK CIRCIiF~ COURT
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1 FURTHER CHtTIFY that I wili aomply with all othsr nqui~am~nfs of a is~al resid~nt of this Sht~.
I FURTHER CERTIFY that I have no intention to retum to my former domitile, and I intend to remain in FORT
PfERCE, S~11NT LtJCt~ COUNTY, FLORIDA, permanently.
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" Mar jorie ( Mrs Robert W. ) Racnsey
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" ~ a ~ " ~ ~ (Address)
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' ^ ~ 8th January 69
Sworn b~nd wbsuibsd b~for~ m~ this day of 19 .
ROOtR ~OlTRAf
C~CYIT`~~p~T Notary Publk
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