HomeMy WebLinkAbout2917 DeCla~ation ot Domicil• and Citizenship
TO THE STATE AND COUNTY TAX ASSES.SOR,
Sl. lUC1E COUNTY, FIORIDA:
This is my declaration of Oomicile and Ctaenahip in the 5tate of Florida that 1 am filin~ thi: day in aooordana and
in aonformity with Chapter 2Z2, Section 222.17, Florida Statutes.
1 was formerly a legal resident of HamPtoo Vit~till ~ a
(Ciy) l5tats)
and 1 msided at 514 Kingston Hall Court , How,ever 1 have changsd my domiule
(Street and Numbsf)
to and am and have been a bona fide resident of the State of Florida sinae OCtOber 14 day of
~ , ~q 68, a~ ~ 15? Ri0 Mar Drive
(Street and Numbsr)
FORT MERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizanship, attuat legal residenoe and domicile in the State of Horida.
pnsert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, ~emoval of family to new domicile, purchase of home, etc.) _
Fort homestead purposes
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I FURTHER CERTIFY that ! will oomply with all other rsquiremenb of a Ia~al resident vf this State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTIf, FLORIDA, permanently.
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. (Name) Horace L. Mandeville
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_~~,~'~~;a> S~r~e`i~~~subsuibed before me this 27th ~y af Nebrudry ~ ~q 69 .
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r~~~~ ;.~f~1T COURT Notary Public
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~ Ro b~ ~x~eut~d tn eq~plieah and ori~in~l fil~d wilh Cl~lc qrar~f CouA, and duplieNr wi16 Tax Ast~ora
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