HomeMy WebLinkAbout1149 Deciaration ot Dorr~icil~ and Citisenship
1'7398'7
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Flwida that 1 am filing this day in aaoorde~os and
in oonformity with Chapter 222, Sectio~ 222.17, Florids Statutes.
I was formerly a legal ~esident of Greer South Carnlina
Kiy) (Sta»)
and i resided at _ 105 Ballig~ei Avenue . However 1 have chsnqeci my domic3le
(Street and Number)
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ro and am and have been a bona fide resident of the State of Florida aince 20 day of '
_j.anuary , t968 , and i roside at 512 South 25th Street
(Street and Number)
FORT ~I~CE, SAlNT LUCIE COUNTY, RORIDA
a~d this statement is to be taken as my declaration of citizenship, actual legal residenae and domicile in the Stab of Florida.
(Insert here any pertinent facts, such as sale of propery or business, or ~eli~quishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
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For homestead purposes
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FILEO AND RECOROEO- ~
ST. LUCIE ~~uR~F EO A.
R~i~~~8~
~ '69 JAN Z~ ~ ~ ~ ' ZZ
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R ,E~ ppITRAS
j ~~E CiRCU1T C~URT
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I FURTHER CERTIFY that I wili aompiy with ail other requiremsnts of a le~al resident of this State.
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1 FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to ramain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permane~tly.
.
°f"°~ Ollie F. Grubbs
(Address) t
Sworn t+o ~nd-wbst~ibed before me this 20 t h day of i a n u a r v , 19.~.Q_. i
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ROGiR ~?OI~~ - (
;Cl~RK CIR~Y~ CpNRT Notary Public i
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Br ~.c. My c.omtrusian expires ~
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~ IM d~ awd ~ioiwal f~ wiM~ Cl~elc CircrM C~r.~, awa ~ wilb T~x A~~a F.
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