HomeMy WebLinkAbout0897 Decla~atio~ of Domicile and Cttisen3hlp • ~-~3~1
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordance and
in aonformity with Chapte~ 222, Saction 222.17, Florida Statutes.
I was formerly a legal resident of wa~C1L R..,_ I~
(Ciy) (State)
and 1 resided at _ 12 13th Avenue ,~v1eVef ~~ve chan9ed my domi~ie
(Street and Number)
ro and am and have been a bona fide resident of the State of Florids sinoe I''~rch 1 day of
, 19
6~, and 1 reside at 140 Bl S+to Cnurt _
(Sheet and Number)
FORT N~lCE, SAINT LUCIE COUNTY, RORIDA
a~d this statement is b be taken as my declaration of citizenship, actual legal ~esidence and domicile in the State of Horida.
(Inse~t here any pertinent fscts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
1~lomestead purposes
~~~p AND RECORD~LA.
ST.~ECORO VERIFIEO
1'73821
'69 JAN 4 AM 10: qS
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; ~p POITRAS
; CLERK CIRCUIT COURT'
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I RJRTHER CfRTIFY that I will aomply with all other requirements of a lepal raaident of thia Stats.
I FURTHER CERTIFY that I have no intention ta retum to my former domitile, and 1 intend to remain ' RT
PIERCE, SAtNT L~ICfE COUNTY, FLORIDA, permanently. ;
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(Nam Clifford Fritz
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- . ~ ' " - (Address)
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~~S~rorn-fa~snd subscribed before me this 14th day of January ~ 19 69
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RO~iER rO1TRA5 ~
~ CIRCUR COURT Notary Public
8y D.C. My Commission expires
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(Te b~ ~ocKUhd in duplicat~ and ori~i~al fif~d with ClNk Cira~it Coue~, and duplicaN with Tan A~ssor.~ ~
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a~~ 175 ~ ~g~ ~
tio. 13
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