HomeMy WebLinkAbout1189 ~ec~aratlo~ ot ~on~ict~e and Cltissnship 1'?'4021
TO THE STATE AND COUNTY TAX ASSESSOR,
S1. lUC1E COUNTY, FIORIDA: ~
This is my decia~ation of Oomicite and ~tizenship in ths State of Horida that 1 am filin~ thi: day in aooordano~ and
in aonfo?mity with Chapter 422, Section 222.17, Florida Statutes.
1 was forme~ly a legal resident of ~NCIB IND. '
(Ciy) (Stah)
and I resided ar 1006 Shellbark Rd. ( son' s addZess) . ~~ve charpsd my domic3le
(Stroet and Number)
to and am and hsve been a bona fide r~~t of the State of Florida sinoe 1St day ~
_ April , 19~ a~ ~115 Airosa Blvd.
(Street and Numbsr)
FORT M~tE. SAlNT LUCIE COUNTY, RORIDA
and this ststement is to be taken as my declaration of citizenship, actual legal ~esidenoe and domidle in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishme~t of employme~t
at former domicile, removal of family to new domiale, purchase of Fwme, etc.)
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FILING FOR HOMF.STBAD PURPOSBS
U~~E~ .
~F~~E~~~EO , F~?
5T. E CQ~~ v~A11E~
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~69 JAN ~
~Q~ PO~~ C~URT
1RCV1T
C~ERK
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I FURTHER ~ERTIFY that 1 wi~ oompiy witfi all other roquimments of a la~ai r~ident of this Stafe.
i RIRTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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. .
, ::~;~;~,irf~;,~ - (Wame)
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~ % Wilhelmina Kibler
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. - (Addreu)
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• ' " - ' k`prld wbscr7bed befor• nns this - 21~t ~y ~ January 19
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C1QK Notary P~lic
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6y D.C. My Gornmis:ion ~xpir~
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" R~ M~ is d~lic.a «NI ~i~i~al i~ wiN~ CfMk CM+aM Gwt, awr ~IieaN ~rtlb Tax Aw«K,1
s~~.75 ~
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