HomeMy WebLinkAbout0673 ~
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D~claration ot Domicit~ and Citis~nship ~
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TO THE STATE AND COUNTY TAX A.SSFSSOR, ~
51. lUC1E GOUNTY. FLORIDA: ~
m fili this da in acaordanos and ~
This is my decla~stion of Oom~ule and Ctisensh~p in the Stste of Flo~~da that 1 a n~ y
in cor~formity with Chapter 222. Section 222.17, Florids Statutes.
I wa: formerly a Ipal resident of _ Benwood, W ct v i rQ~,' n+ g
Kity) (Sts»)
and 1 rosided at 29 RosewoQd Avenue . Howevsr I have chanped my domkile
(Strest and Number)
ro and am and have been a bona fide msident of the State of Florids sinoe 22 day of
June , ~9 68 , and I roside at 131 Naran ja Avenue
(Sheet and Number)
EORT SAMlT LUCIE COUNTY, RORIDA ~
a~d this statemsnt is b be tsken as my declaration of citizenship, acsual legal residenoe and domidle in the State of Florida.
pnsert hero a~y pertinent fsctf, such as sale of property or bu:iness, or relinquishment of employment ~
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at ~ domicile, removal of family to new domicile, purthase of home, etc.)
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Establish Residency for Homestead ?
a
RILEO ANQ RECQRD~O~ ;
ST. LUCIE COUNTY. l.A: ~ - ;
REC1~3~SED ;
'69 JAN d PM ~ : Z~
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ROG OITRAS _
' CLERK CIRCUIT COURTI
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i FUR'i'HER CERTIFY that I will oompiy with all othsr roquiren~snts of a lepal rosidsnt of fhb State. ~
~ I FURTHER CERTIFY that I have no intention to retum to my former domic,ile, and 1 inte to remain in FORT `
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently. ~
~^"e~ ert K. Johnson '
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~ (~?ddress)
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Swan to ~n~ wbsc~+,'b~d before me this 8 t h ~y ~ ~j anu ar ~ , 19 6 4
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4~K C~qNT . ~ Notsry Publit
~ 8p ' ' _ r ~ ~ D.C. My Commission ~xpns
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