HomeMy WebLinkAbout1145 Oeclaration ot Domiciie a~d Citizenship
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1'~3983
TO THE STATE AND COUNTY TAX ASSESSOR,
51. lUC1E ~OUNTY, FLORIOA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filin~ this day in aooo~danos and
in co~fo~miry with Chapte~ 222, Section 222.17, Florida Statutes.
I was fo~merly a legal resident of AshvillC NOrth CaiOlit'18
(City) (Stats)
end 1 resided at 23 NOrth Y~ew Street . However 1 havechan~ad mydomidle
(Sneet and Number)
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ro and am and have been a bona fide resident of the Stste of Florida si~oe 1S± day of
Noyember , i9~Z, and ~ reside st 245 Abeto Lane
(Shaet and Number)
FORT MERCE, SAINT LUCIE COUNTY, RORIDA ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any peninent facts, such as sale of property or busin~ss, or ~elinquishme~t of employment
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
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Homestead piirpos~s
ANO RECOR~EO =
FII.ED ~TY. ~La•
ST,:LUC1E COU F~FR
;~t ~~R 3983
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I FURTHER G'HtTIFY that t will aomply with all other roquirements of a Ia~al residsnt of thi: State. ~
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
PIHtCE, SAINT LUCIE COUNTIf, FLORIDA, permanently.
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M°"1°~R. Madeliene Buchanan ~
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(Address)
Sworn to and subsuibed before me this 2~th day of ian ~a K , 19~_~
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~ ~ , Notary Public
By - y . D.C. My Gommission expires ~
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