HomeMy WebLinkAbout0912 Declaratlon ot Domicile a~d Citizenship
1"73835 '
TO THE STATE AND GOUNTY TAX ASSESSOR,
51. lUC1E COUNTY, FIORIDA:
This is my detlaration of Oomicile and Citizenship in the State of Flo~ida that 1 am filing thi~ day in aca~rdante and
in oonfo?mlty with Chapter 222, Section 222.17, Florida Statutes.
I wat formerly a lega) resident of Zensing Mic~igan ~
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(~Ify) (SfatO)
and 1 resided at ?42 WestmoY'1811d Street ,~~„~ever 1 have changee: my domicale
(Street and Number)
to and am ancl have been a bona fide ~esident of the State of Florida sinoe September 30 day of
_ , t9 68, a~d i res~de ar 2104 Golf oiew Court
(Sheet and Number)
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I~ORT MERCE, SAINT LUCIE COUNTY, RORIDA '
and this statement is to be taken as my declarotion of citize~ship, actual legal residence a~d domicile in the Stste of Horida. ;
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(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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homestead purposes
FILEO AND a~CORDED ~
ST. LUC1E CO TY• ~~A• ~
c~• C~~ V~aS ~ ,
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'69 JAf~ /14 PM 12: 13
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RO~E OITRAS
CI.ERK CUIT COURT
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1 RJRTHER GfRTIFY that I will oomply with all other requirements of a leyal resident of thia State. ;
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1 Fl1RTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to remain in FORT
PiERCE, SAtNT IUCIE COUNTY, FLORIDA, permanently.
~-a /'K-C..c..
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.~ti = ~ ~ (Name) I18t Mee LeCato
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~io~li.~p•arti! ~ubs~nbed before me this 14th day of JHIIUBry , 19~?4.
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~OtR ~OITRAs
~1( CIRCWT tQ1JRT Notary Publit
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By ~`"t~ D.C. My Gommission expires
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R~ M~a~Ni iw drplkalr aed eei~iAal Rl~d wilb CM~Ic Cirwif Csue~, and dvplicaN wi~h Tax A~N~x.)
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