HomeMy WebLinkAbout1188 D~claratio~ of Danicll~ and Cittsfnship
1~4azo
TO THE STATE AN~ GOUNTY TAX ASSESSOR,
S1. U1CIE COUNTY, FLORIOA:
This is my declu~tlon of Domicile and CitizM~ip in th~ Sta» of Florida that 1 am filin9 thit day in aooordana~ ~nd
i~ oonformity with CfiaptK 2~2, Settion 2~2.17, Rorids Statut~s.
~ wa iom~r~y a ~e~a~ rosidenr of Boston Maes.
, (Ciry) (Statr)
and 1~Id~d at 96 Tyndale StTeet ~~w
(Stnef snd Numb~r)
to ~nd am and have ba~n a bons fid~ rosld~nt of th~ State of Horids sinos OCt. 15 ~y ~
, ~q 68, a~ n 1502 Avenue B
' (Stre~t and Numbe~)
I'ORT NiRCE. S~AN~lT L1lf.lE COUNTY,I~LORqA
and this :tatenwnt is to be take~ ss my declaratwn of dti~enship, actual ie~aal residenoe and domidl~ in the State of Horida.
qnsert hem any pertinent fads, such as sale of propatryr or business. or relinquishment of emptoyment ~
at fomn~r domicils, romoval of family to new domicile, purchase of home, etc.)
homestead purposes
4~E~flR~~O
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G`ERK C~K
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I RJRTHER CERI'IFY that 1 will comply with all o~ nquirarwnis of a leyal r~ident of thb Stat~.
I fURTHER CERTIFY that I have no intention b mtum to my former domicile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORiDA, permanently.
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