HomeMy WebLinkAbout1818 1'~'4456
De+claration ot Domicil• a~d Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LU~IE COUNTY, FLORI~A:
This is my declaration of ~omicile and Citizenship in ths State of Flwida that I am filing thi: day in aoo~rdanoe and
in conformity with Chapter 222, Section 222.1T, Florids Statutes.
1 was formerly a legal ~esident of Meadow Br~d¢e We_ct Vi r_~±n~g__
(City) (State)
and 1 resided at Second Street . Howeve?1 have changed my domk3le
~Street and Number)
to and am and have been a bona fide ~esident of the State of Florida sinee 27th - day of
~E-_ , 19~2$, and 1 reside at 704 A~ a 1 e a Avp n»E+
(Street and Number)
FORT PIERCE, SAlNT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual lega) residence and domiafe in the State of Horida.
(Insert here any pe~tinent facfs, such as sale of property or business, o~ relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) t
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Homestead Purposes
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FILE~ AND RECORDEB~ _ ~
ST.R~COR[~ VER1F EO`~~
45
~ '69 FEBi~y ~T ~ : 3q
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~ F20GCR ~OITRAS
~ CLERK CIRCUIT COURT=
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I FURTHER CERTIFY that I wil) oomply with all other requirements of a leyal residenf of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name) Brady F. Bland
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~ (Address)
Swwn to and subsuibed before me this 4th day of ~ February , 19~_.
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ROGER-~OKR~S•~ = ' }
Ct~R(4~C1RCdIT'COURT Notary Public 4
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By ~ D.C. My Commission expires ~ ~
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(t"d.b~~ ~~i~ d'eiplicafa and oripinal fil~d with Ct~ic Ciratit Cou~?, and duplieN~ with Tax AsNasor.)
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„ ~ BooK175 ~?~E1815
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