HomeMy WebLinkAbout0808 O~cla~atlon ot Domicil~ a~d Citis~~ship 1'~3`748
1
TO THE STATE AND COUNTY TAX ASSESSOR,
Si . UJCiE COUNTY, FIORIDA:
This i: my deci~ration of Domicile and GitiZenship in ths Staro of Norida that 1~m filir~q this day in aooordana and
in oonfo?mity with Chspter 222, Sattion 222.17, Florida Statutes.
-1 was formerly a lagai resident of n~~ ~~r~ T"
(~iy) IStah) ~
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and 1 ns~ded at 151 1~ genil ~~rth . However 1 have cha~psd my domidie
(Street and Number)
b~nd am and have been a bona fide ~esident of the Staro of Florids sinoe 12th day of
July , 19~-, and 1 roside at 0 Airnsa Blva
(Street and Number)
tORT M~CE, tA1NT tUC1E CO!lNTY, ROR~A
and this statement is to be taken as my deda~ation of citizenship, aclual legal residenoe and domiale in the State of Horid~.
pnsert here any pe~tinenf fads, such as sale of propery or business, or relinquithment of employme~t
at fionner domkile, removal of family to new domicile, purchase of home, etc.)
Sstablieing Keaidence for Homeetead purposes
FILED AND RECORDED
ST. LUCIE COUNTY. pLA.
RE C 1'~eS-!~~
'69 JAN t 0 PM 2: Oq
y~ ~
' RO P017RAS
~ CLER CIRCUIT COURT
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~ i FURTF~lER ~HtTIFY that 1 will aomply with ali otl~ roquinm~nfs of a Ipal resident of thb Stats.
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~ 1 FURTHER CERTIFY that I have ~ intention b mtum to my forme~ domkile, a~d 1 intend to remain in FORT
~ PIERCE, SAINT UKIE COUNTY, FLORIOA, permsner?tly.
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(Name) ~
i
630 ?irosa Blvd
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~ (Addros:)
Sworn ro and wbsuibsd befor~ m~ this ln day of J8T11itT~ , 19,~.Sj_.
ROOi~ ~OfTRAs
CVRK CIRCIMT COURT , Notary Publk
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C:+ - ' , . ~ ~ My Cwmr?iision ~xpira ~ ~ w'b 13,1li~
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Ri M~oaw»i 1~ ~ a~i ~i~Mi lil~. Q~k Ci~+~M Cwe~ aai ~ wii T~oc Ar~.!
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