HomeMy WebLinkAbout0711 1~'36'7p
D~claration ot Domlctl~ and Cit~~nsh~p
TO THE STATE AND COUNTY TAX AkiSESSOR,
ST. 1t1C1E GOUNTY, FIORIDA: `
Thi: i: my declantion of Domiale and Gitiunship in th~ Stats of Flo~ida that i am filinq this day in aooordano~ qnd
in aonformity with Chaplsr 222. Sacfio~ 222.17, Florida Ststutes.
~ was former~y a ~eqe~ resident of Livin~ston New Jersev
. (City) (Sts»)
end 1 rosided at 50 Irving Avenue i~~
(Street and Numbsr)
ro a~d am and have been a bons fids rosident of the State of Florida sinoe February ~y ~
, 19SL~, and 1 roside at 1929 Royal Pal~ ~rive '
(Sfroet and Numbsr)
FORT ~C~, SAINT LUGE COUNTY, ELORIDA ~
and this staMn~ent is to be taken as my dedaration of atizehship, attual legal residenoe and domicik in the Stete of Horida.
pnsert here any pertinent fads, such as sate of property or buainess, or rolinqui~ment of empioyment _
at former domicile, romovat of family to new domidle, purchsse of har~e, ett.)
Bstabiishing z~~ residency for homestead exemption
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i FUR7I~ER CfitTIFY that I will comply with all othsr reQuirsrrNnb of a lepai ~i~M of this State.
.i..it1RT,NER CERTIFY thst 1 have no intention to retum to my former domicjle, and I irttend to remain in FORT
Pi~:;$Ai(1~.~U~~,E~JUNTY, FLORIDA, pe~manently.
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. f~ ~ _ (Name) ' ldred M. Gunther
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SMrorn b and wbsuibed before me this 9th day ~j nuary , i9_b.4.
RO~iER ~OITRAS
CLERK CIRWR COU~T Notary Public
By D.C. My Commission expiros '
(T• b. .oo.w~~.a ~ aupNu~..aa e.i~iaal fil.a wHh a.rlc chaih cew+, .nd a~pik.~. wiM~ T.x w*....or,~
sooK ~75 ~ .7'09
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