HomeMy WebLinkAbout1828 Dectaration of Domicile and Citizenship 1,~,4~s3
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filing this dsy in aoo~rdance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was forme~ly a tegai resident of SC~1@Y!@CtBd~ •y•
(Ciy) (State)
1535 Foster Avenue
and 1 resided at _ . However I have changed my domidle
(St~eet and Numbe~)
to a~ am and have been a bona fide resident of the State of Florida since day of
August 68 3591 Dickena Street
, 19 , and I reside at
(Street and Number)
FORT MERCE, SAINT LUCIE COUNTY. RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and dolnicile in the State of Horida.
(I~sert here any pertinent fads, suth as sale of property or busineu, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
for homestead purposes ~
FILEO AND REGOROEO~, ;
ST. LUCIE COUNTY. FLI~.' ~
RCCORD ~ERIF!E~ - ~
17'4~~3 '
'69 F'E8 4 AN II:OS
~ ~
RO~E~ P RAS
CLERK CIRCUIT COURT' ~
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1 RIRTHER CERTIFY that I will oomply with all other requirements of a leyal resident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domivle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
.tii%liil; ~ /
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` ~ ~ (Name) Arthur J . Hart
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_7 ~ `-.t..+_ _L, i r ~
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~ r~"~. - ~ 4th January 69 `
~5wo(~i~o ~and subscribed before me this day of , 19 .
ROGER POITRAS
CLERIC CIRCUR COURT Notary Public
By D.C. My ~ommiuion expires
(To b~ ~xscu~ed ie dupliut~ and ori~inal Rl~d wilh Cl~ek Cira~it Court, and dupliu» with Tax A~or.)
8~K i~l1GF `
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