HomeMy WebLinkAbout2643 declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E ~OUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in ataordante a~d
in oonfonr~ity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal ~esident of Ft. Lee, ~irginia
(Ciy) (Stste)
and I resided at ~386 BUnB ROSd , Flcwever I have chan~ed my domidle
(Street and Numbe~)
ro and am a~d have been a bona fide reside~t of the State of Florida since May 30 day of
~ , 19 68 , and I reside at 1712 York Court
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORtDA
and this stateme~t is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the State of Horida.
(Insert here any pertinent facts, such as sate of property or business, or relinquishment of employment
at fomner domicile, removal of family to new domicile, purchase of home, etc.)
for homestead purposes
F~~EO AND RECORDED .
57. ~
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'69 fE6 ZD P~ 3:3T
I
! 4i0 ~r OITRAS
~ CLERK C RCUIT COURT
~ , ~ -
1 RIRTHER CERTIFY that I will oomply with all other requirements of a le~sl resident of tfii: State.
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.
a~
(Name)Mary qi1D Hockett
~
(Address)
, Sworn fq and :ubsuioed before me this 20th day of Februa ry , ~q~~,
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• Roo~e rom~?s' .
. q$~( ~IRCtl~T ~ip{IRT . Notsry Public
By ~ D.C. My ~ommiuion expires
(Te b. .oaaM.a ie dupucN. aea «i~inal Rl~d wkh u.:t ekarN e~oue~, .nd duplkal~ wilb T.x A.....era
~ ~175 ~2~~
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