HomeMy WebLinkAbout2195 ~ Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORI~A:
This is my decla~ation of Uomicile and Citizenship in the State of Florida that 1 am filiny tl~is day i~ aooo~danos and
in conformity with Chapter 222, Sectio~ 222.17, Flori~ia Statutes.
I was formerly a legal ~esident of G8 1100 ~hin ~
(City) (Ststs)
and i ~es~ded ar _ 740 Grove Avt. . However I have changed my domiCile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 9th day of
Port St. Lucie
April , t9 68, and ~ reside at 110 Camino St..
(St~eet and Number)
fORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal~residente and domicile in fhe State of Florida.
(Inscrt here any pertinent fads, such as sate of propery or busineu, or ~elinquishment of employment
st former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing residence and applying for homestead ~
~I~.~p AN~ EiEC~RDED
s'r, ~ue1~ eouN !
RFCC~PD VcR;F1~D • s
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1'74683 ;
'69 FE6 I I PM I:~0 ~I ~
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CI.ERK CIR4~~fi ~ '
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I RJRTHER CERTIFY that I will oomply with all other requirementt of a(e~al resident of this Sfate. ~
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1 fURTHER CERTIFY that I have no intention to retum to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ;
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J` . . - r -
. C les J. Griebling
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~ L~ • Edna M, sriebling
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~ Swcjm tci'~rid subscribed before me this l lth ~y ~ Febru ary ,~9~Q
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~eoar~e rom~?s :
/ CIRCUIT URT Notary Public
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By D.C. My Commissan expires
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(To b~ ~aae~Nad M duplisaf~ and ori~i~al fif~d wilb Cl~ek GKUif Car~t, aed duplieaN wilh Tax Aswaora
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~ , s aooK 175 ~ 2192 - ~
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