HomeMy WebLinkAbout2877 Declaratlon ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
S1. LUCIE ~OUNTY. fIORIDA:
This is my deciaration of Domicile and Cti=enship in the State of Florida that 1 am filin~ thit day in aooordanos and
in conformiy with Chapter 222, Secfion 222.17, Florida Statutes.
1 was forme~ly a legal ~esident of StSI]fOid Conn.
(Ciy) (Stat~)
and I resided at _ 26 Moore Street ~ , Flowever I have chan~ed my domtdle
(Street and Numbe~) - - -
b and am and have been a bona fide resident of the State of Florids sinoe 213t day of
February ,~q 68, and 1 reside at Star Route Bden Jensen Beach ~Fla.
(Stireet and Number)
FOitT r1~CE, SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to be taken as my declaration of citizenship, actual legal ~asidenoe and domicile in the State of Horida.
(I~sert here any pe~tinent facts, such as sale of property or busineu, or relinquishment of employment
at fomner domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing residence and applying for homestead
1`~'S132 ~
~!LEC AND REGORDED
Si. IUCIE COUNTY. Fi.A.
RECORD VERIFI~?
~ 1969 FEa Zf AM I~: 43
~ C ERK C RCUIT C URT
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1 FURTHER CERTIFY that I will aomply with all other requirementt of a le~al resident of fhis State.
1 FURTHF,~t _CtEBtIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
.
PIERCE,;SNAIt~-~(IW6;~~,I~tTY, FLORIDA, permanently.
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`•.;~k; _ > - (Name)
~~=~~T* ~-1` r?:~4. Grace F. Lynch
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~~'`r~'~~'t~s~s~~.
Sworn to and subscribad before me this 26tb day of February 19 69
. ~
' ROGER POITRAS ;
CIRCUR URT Notary Public ;
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By ~~~~-Q~ D.C. My Commiu'wn expires ~
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(To b~ ucecuhd iR duplicat~ and ori~in~l Al~d wilb C1~rk CiraiH Carr1, snd duplkab wilh Tax Ataa~or.) ;
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