HomeMy WebLinkAbout2634 Declaratio~ ot Domicile and Citize~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and ~itizenship in the State of Florida that 1 am filing this day in scoordanoe snd
~n confo~mity with Chapte~ 222, Section 222.17, Florida Statutes.
I was fo~merly a legal resident of Balt i:nore M9 '1:.: d
~C;ty~ (State)
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and 1 ~esided at 38 Stab~ 1~ e* Drive . However 1 have changed my domidle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 26th day of
J"ne , t968 , and I reside at 200 Celestia iizi:s Court
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORtOA
and this statement is to be taken as my declarotion of citizenship, actual legal residente and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
P
at former domicile, removal of family fo new domicile, pu~chase of home, etc.) ;
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Establishing residence and aplying for homestead
FILEO AN~ RECORDED `
ST. l.UCtE COUNTY. FLb. ~
h:F_Cns~~ VERIFt D ~ :
I C~ ;
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f '69 fEB 20 PM I:30
~ 3.'7497'1
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~ ~?O~~R ~•OITRKS
CLERK CIRCUI7 COURT
I FURTHER ~ERTIFY that 1 will aomply with all other requirements of a le~al ~osident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT~IUGIE COUNTY, FLORIDA, ~oermanently.
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. _ ~ ~ (Name)
~ ~ ~ • ~ ; . Virginia L~ Beck ( ~Hrs. Luther J )
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Sworn ro and subxribed before me this 20th day of Februar~r , 19_113.
ROGER rO1TRAS
CIRCUtT COURT Notary Public
- By "r D.C. My ~ommission expiies
tTo b. .x.w+.d ie aupl:c.r..na o.i~inal fil~d wi11~ a.~lc euaiif co~ut, ,nd ddpli~.~. wflh T.x A.....e.a
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