HomeMy WebLinkAbout1819 Declaration ot Domicile and Citisenship 1"7445'~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of ~omicile and Citi:anship in the State of Florida that I am filing this day in aooordanoe and
in co~formity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal resident of ~SSa~qUa L. I. ~ N, Y.
(City) (State)
and 1 resided at _ 25 Harvard St re@t ,~Wever i have changed my domidle
(St~eet and Numbar)
to a~d am and have been a bona fide resident of the"State of Florida sinc8 day of
August , t9
6$, and ~ reside at 10? Placita Court~ Port St. I.~cie
(Street and Number)
FORT MERCE, SAINT WCiE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actual legal ~esidence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or ~elinquishment of employment }
at former domicile, removal of family to new domicile, purchase of home, ett.) i
for homestead purposes
FILED AND RECOROED~
ST, LUCIE COUNTY. FLd.
FE COR~ ~'ERIFlFD
1`~4~5'7
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~ CIERK CIRCUIT COURT=
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I RJRTHER CERTIFY tfiat I will oomply with all other raquirements of a lepal resident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicale, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
~ ~ ~ (Name) Byron D. Sickman
~~i~;:.::t:;;
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F • J'
- . . . (Address)
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~ ~j`~.,~ism tri~.6tnd'subscribed before me this 4th day of February 19 69 .
.
r ~:::..~•t~ ~ -
ROGER POITItAS
CLERK tIRCUR COURT Notary Public
gy D.C. My Commiuion expires
(To b~ ~x~cutid in duplicst~ snd ori~inal filed wilh Cl~rfc Cira~it Coue~, and duplicat~ with Tax As~asr.)
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