HomeMy WebLinkAbout0852 D~claration ot Domicile a~d Citls~nship
TO THE STATE ANC COUNTY TAX ASSESSOR. ~ - 1'73785
Sl. LUCIE GOUNTY, FLORIDA:
This is my daclaration of Domicile snd Gtizenship in tM State of Horid~ thst I am filirp this day in sooordance a~d
in aonformity with Chapter 222. Saction 222.17, Florida StatuM:.
1 was formsrly a legal rosidsnt of pgrkland Pa.
(City) (Statr)
and 1 rosidad at 726 Walnot Avenue ~~p~ my ~~~e
(Strest and Number)
ro and am a~d have been a bona fide rosident of the State of Florida sinoe 22nd day of
`july , 191L~, and 1 reside at 3101 Sotth 2 4th StrPet .
. . (Stroet and Numbsf)
FORT S~AINT LUCiE COUMY, RORIDA
and this statemsnt is b be taken as my dedaration of citizenship, actual legal residenoe and domicile in fhe State of florida.
(Insert hero any pertinent facts, such as sale of propery or business, or relinquishment of employment
at former domials, removal of family to new domicile, purchsse of home, etc.)
Homestead exemption purposes.
FIl.ED ANO RECDRDED
ST. LUCIE_ COUNTY. FLA.
RECORD YERIFIED
~ 1'73'78~
~ '69 JAN i 3 AN I I: y 2
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~ i RIRTHER Cfi~TIFY that I will aomply ~R~G ~~~i
~~~~tof a le~al resident of fhis State.
i FURTHER CERTIFY that 1 hav~ no intention b rotum to my former domicGle, and I intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLOltIDA, permanently.
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(Name) st A. ~ James
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~ (A~ddress)
...Swot1~ b at+d wbscribed before rrw this 13 th day _1 anu ar y q 69 , .
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" • G~RK ,.~GIMT,? COIlRT Notary Publk
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~r ~ O.C. My Commissio~ expi~
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tTi ~°~4wNi i~ ~IicaN ae/ ~i~Mal ~ wNM CM~k CM~wN Gw~, awr i~Ksaw wMl~ Tax A~~.1
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