HomeMy WebLinkAbout2498 DeClaratio~ ot Dot~icile a~d Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile a~d Citizenship in the Stats of Florida thst I am filin~ thi: day in ac~ordanoe and
i~ co?~formity with Chapter 222, Section 222.17, Florida Statutes.
Owasco New York
1 was forme~ly a leaal ~esident of
(City) (Staro)
and I resided at However i have chan~ed my domkile
(Sneet and Number)
ro and am and have been a bo~a fide resident of the State of Fiorids sinoe 15th dey of
OCtober ~ ~q 68 ~ a~ ~ reside at 1339 SeawaY Drive _
(Streef and Number)
FORT PIHKE, SAIN? LUCIE COUNTY, RORfDA
and this statement is to be taken as my declaratwn of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pe~tinent facts, such as sale of properly or busineu, or relinquiahment of employment
at former domicile, removal of family to resw domicile, purchase of home, etc.)
Establishing residence and ~applying for homestead
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i ,~iC~O AND RECORD~D;
ST. CUCIE COUNTY. FLa`. ~
R~CORD VERIFIED
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'69 fE6 I 8 PM 2: i
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~ CIERK ClRCUtT COURT_' ~
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1 FURTHER CERTIFlf that I will oomply with ali other requiremenb of a leyal residenf of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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_ ~ ' ~orothy L. Peterson ( Mrs. Bibert )
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' . - , ~ (Address)
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~ ' ' ~ 18th Februarv
- Sworn to and subsuibed before me this day of , 19~1.4.
ROGER PORRAS
CIRCUR COURT , Notary Pubiic
gy ~ D.~. My Commiu'wn expires
(To b~ ~x~cut~d in dupliul~ and o~i~inal fil~d wilh CIKk Grarh Cou~1, aed duplicaN with Tax A~or.)
ao~175 PALC2493 `
t{o. 13
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