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HomeMy WebLinkAbout0660 D~cl~~atio~ ot Oomicile and Cit~:~nship TO THE STATE AND COUNTY TAX ASSESSOR. 1~~~` ST. UKIE COUNTY, FIORIDA: Thi: i~ my dscla~ation of Domicila and Citi~ship in th~ Staro of Florida that I am filinq this day i~ ~ooorda~o~ ~nd in conformity with Chapter 222, Settio~ 222.17, Florid~ Statut~s. - ~ was forn»rly a Ipal rosid~nt of George Town Conn. (Gity) (Stab) and 1 ~~s1d~d at Port land Hill Road ,~K ~~Ve my domJd~ (Sheet and Number). ro~nd am and have bee~ a bons fide ros'id~nt of the State of florida :inoe 26th day of April , 19 68 and I roside at 18? Lib~rty Way (Stroet and Number) l~ORT M~C~, SAlNT LUCIi COUN~Y, I~LORIOA and this statbment is to be taken as my declarstion of citizenship, actual le~aal residenos and domicile in the Sta» of Fiorida. _ (Insert hers any pertinent facts, such as sale of properry or business, or relinquishment of employment at form~r domidle, romoval of family to naw domicile, purchase of home, etc.) Applying for homestead ~~~D ANp ST. WC?E ~ V~RDF p` i ~FCORO VERIF1E0~' Establishing residence JAN 8'1`~~~ " ~ ~ ` ~ 5~ ROG - ~ ~IER ~R 1'OITRAS ~ K ClRCUIT COURT~ ~ ~ i f ~ ~ ~ 1 FURTl1ER G~tTIFY that I will aomply wHh all other roquirerrwnts of a lep~l reskknt of this State. ~ ~ 1 RIRTHER CER7IFY that 1 have no intention to retum to my former domic~le, and 1 infend to remain in FORT ` PIERCE, SAINT UJCIE COUNTY, FLORIOA, permanenNy. ' . -c-~-:~{1~~1~u17!!~!)H~ _ ~ -'J~.:~_.~;ra~:•' { ~ a ' ~ ~ Michae~A'.°~Hoffer : . _ . _ ' " ~~-•,ly~-t v _ . ~ ' . - ~ ~ Catherine . ffer :LI'~ ~ ~ ,t.:4' •1 Swe3rn ~ a+kl wbiuib~d befor~ m~ thii 8th day of Janu rj~ , 19~4. ROOtR ~OITRAS ' CiRpNT Notary Pubik ` p~,~(~ ~ O~ [ D.C. My Commission ~xpir~ ~ e } i R~ M M ~ M~~ ~ w~ ~fk ~1~11~1 ~iwf~i M~ ~ ~ T~ ~Mt/,~ ~ ~o~i75 ~ 658 • - ~ - _ - :~.s ~ ~ 4~y _