HomeMy WebLinkAbout2692 Declaration ot Don~icile and CitizensMip
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TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and ~itizenship in the State of Florida that 1 am filing this day in soo~rdanos and
im m~formity with Chapter 222, Section 222.17, Florida Statutes.
Corydon Indiana
I was formerly a legal ~esident of
(Ciyl (State)
Rt. 2, Box 180
and I ~esided at . However I have changad my domivle
(Street and Number) (
to and am and have been a bona fide resident of the State of Florida since Aul~ust 1 day of
_ , 1968 , and 1 reside at 1570 ThLmt~ooint Drive
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domiale in the State of Horida.
(Insert here any pertinent fads, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domiciie, purchase of home, etc.) ~
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Establishing residency and homestead rurposes
FILEO AND RECORDEO {
OUNTY. Fla•
ST. LUC1E ~-,~.,,F~p ;
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CLERK CIRCUIT COUR7~ •
1 RJRTHER CERTIFY that I will aomply with all other requirements of a legal resident of thi: State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name) Alle C, Kenn
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- ~ Swo~n to and subscribed before me this ~ 21 day of February ~~q 69 .
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. . : ROG~ POITRAS ~
CLERK CIRCUIT COURT Notary Public i
By D.C. My Commission expires
(To b~ ~xscut~d in dupliub and ari~insl f~l~d wiN~ Clerk Circuit Court, and dupliuh with Tax Atas~or.)
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