HomeMy WebLinkAbout0877 ~~claration ot Dorni~il• and Citiz~nship -~'~38t~4
TO THE STATE AND COUNTY TAX AS.SESSOR,
Sl. LUCIE GOUNTY, FIORIDA:
Thi: is my declaration of Oomicife and Citizenship in ths State of Florida that 1 am filin~ this day in aao~rdanoe and
in aonformity with Chspter 222. Settion 222.17, florida Statutes.
1 was formarly a le9al rosidant of ~rs Penn
(City) (Sta»)
and I rosidsd at Rt 2 Box 245 . Fbwever 1 have chanpsd my domk3k
(Street a~d Number)
to and am end h:ve baen a bona fide resident of the State of Ftorida sinoe day of
December ¢iT 2114 South 3rd street
, 1 , and 1 reside at
(Straet and Number)
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lORT ~t~, S~AINT LUC~ COUNTY, RORIOA ~
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domidle in the State of Horida.
qnsert hem sny pe~tinent facts, such as sale ot propery or buainess, or relinquishment of employment
at former domicile, removal of famify ro new domicile, purchase of home, etc.)
Bstablishing residence and appaying for homestaad
' F~t-HG ~ANO R~CpROEO~
ST. IUCI~ COUNTII, ~~„q;
R~C0~4~~~4
; '69 JAN 13 Pp 2 j q
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` ROGE ITRAS
~ CLERK CI UIT COURT!
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I FURTHER G~tTIFY that 1 wlll aomply with all othsr nquirem~nh of a lepal rosidem of thb State.
i FURTHER CERTIFY that I have no intention to retum to my former domitile, and I infend to remsin in FORT
PIERCE, SAINT LUGE. COUNTY, FLORI~A, permanentiy.
~.,,~~~t~~ _
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~ ~ ~ - Nilliam Baxter IYI
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~ . . _ . . , ~ = (Address)
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`;Cbw ora ~o a.ni!` wbscribed before m~ this 13t h~y J anuar j~, , 19.1i4.. ~
'bweo.... . _
ROOt~ rO1T~Ai
C~qJIT Notary Publit
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t~r D.C. My Gommission ~xpir~s
R~ b~ ~d iw ~a~..w~ wi~l til~i wilk Ct..k CtraM c~w~. aua ~ah wilh Taoc A.......J
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