HomeMy WebLinkAbout0848 1'73'781
~cla~ation ot Domicilw an~l Cltis~nshlp
TO THE STATE AND COUNTY TAX ASSESSOR, ;
Sl. LUCIE GOUNTY, FLORIDA: ~
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This is my declaration of Oomicits and Citise~ship in the State of Florida that I am filin~ this dsy in aooordano~ and ~
in ao+nformiy with Chapter 222. Section 222.17, Floride Statutes.
1 was formerlr a lagal rosident of ~Ver Djp~ H~we+~}~i
(~iq) (Stat~)
and 1 ~esided at ~3 Wentworth Terrace i~~
(Street and Number)
ro and am and have been a bona fide res'ident of the State of Florida sinoe 30th ~y ~
August ,~q 68, and i mside at 11933 So Ind. Rover Drive
(Straet and Nun~be~)
FORT M~CE, SAIN? LtK1E COUNTY, RORfDA
and this statament is to be taken as my dedaration of citizenship, actual legal residenoe and domicile in the State of Horida.
qnse~t hero any pertinent facts, such as sale of prchperty or business, or rolinquishment of employment ~
at former domicile, removal of family to new domicile, purchsse of home, etc.) ~
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Sstablishing residence and applying for homestead
, C
F~~EO ANO a~
~R,~e
T. UCIE COU~T1 0 '
S A~Cp~p VERI~EE
1'73'7S1 . 59
'69 JAN 13 AM 10
a~
o'~ '
ppITRAS ~
~~R C1itCU1T COURT~
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1 FURTHER GHtTIfY that 1 will aomply with all other ~equirerr~enri of s lepal resident of this Stste.
I FURTHER CEttTIFY that I have no intention to retum to my former domiGle, and I intend to remain in FORT
PIERCE, SAIM UK1E COUNTY, FLORIDA, permanently.
_t,,~.,~.~:,,:
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X
. ' (Name) ` i
x ~ ~ Philias A. Matton ~
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~ Janaury
~ ' ~ : ~ 13th 19 69
~$weo~n to' and subsyi6sd before me this day of -
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ROOlR ~OITRAf
GR~~T C011RT Notary Pubfic
g~ (po+c-~[~ D.C. My Commission txpi~
- Q~ M~oaerN~i M~iisM~ aw~ ~ei~M~l Al~i wilb CM~k Cirs~if Gwt, au~ i~liaN wN~ Ta~ A~~.1
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