HomeMy WebLinkAbout0068 ~eclaration ot ~omicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR~
Sl. LUCIE COUNTY, FLQRIDA:
This is my declarotion of Domicile and Citizenship in the State of Florida that I am filing this day in acocrdance and
in conformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
1 was fo~merly a legal resident of Hi~hland Park Michi~an
(Ciy) (State)
and 1 resided at ~6 Hil l . Howevef 1 have changed my domiGle
(Street and Number)
to and am and ha~e been a bona fide resident of the State of Fiorida since 1s t day of
_ J`_'~e , t968 , and ~ res~de ai Ridgecrest hlobile Home
(Street and Number)
fORT PIERCE, SAIN? LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of p~operty or business, or ~elinquishment of employme~t
at former domicile, removal of family to new domicile, purchase of home, ett.)
Establishing residence and applying for homestead
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' ~ •~LUCI~ ^ ~r'~
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1 FURTHfR CERTIFY that I will oomply with all other requirements of a le~al resident of thi: Stste. ;
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1 FURTHER CERTIFY that I have no intention to retum to my former domitile, and 1 intend to remain in FORT
PIERCE, SAINT lUC1E COUNTY, FLORIDA, permanently.
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~ . ~ ` " - Charity G. Bailey
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~ , ' ~ • , " ' - (Address)
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1.~~ : 3rd March 69
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~ ''Swo~f~,~prattd subxribed before me this day of , 19 . ~
ROGER rO1TRAS
CIRCUIT GOURT Notary Public
B ``-'~-L ~°`~``G~ D.C. My Commission expires ~
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(T~ b~ uaurhd in dvplicab and o~ioinal fil~d wilh C1KIc Circvif Ceurf, and dupliuts wilh Tax ~t~~.)
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