HomeMy WebLinkAbout0197 1'75364 ~
Deciaration ot Don~icile and Cltisenship ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am fili~p this day in aooordancs and
in eonformity with Chapter 222, Sectio~ 222.17, Florida Statutes.
i was formerly a legal ~esident of BBAUFORD _ S. C.
(City) (Stah)
and 1 resided at 526 Laurl Bay Blvd. ~Wever i have changed my domiGle
(Street and Numbe~)
b and am and have been a bona fide ~esident of the State of Florida since 1St day of
April 58 5804 Oleander Ave.
. 19 and 1 ~eside at
(Street and Number)
FORT PiERCE, SAINT tUC1E COUNTY, RORIDA
and this statement is to be take~ as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
o at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
FILIKG FOR HOMESTBAD PURPOSES ~
_ ~ 17'S364
r:LED :.;VD RECQRDED ~
St. LUCIE ~OU(VTY. ~1.~. ~
RECOFiQ VERiFlE '
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~ M~ -6 PM 1:4
FcGGER ri,~ lR~~
CLERK CIP,CUIT COURT
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1 RIRTHER GERTIFY that i-wil) oomply with all other requirements of a leyal resident of this State. ;
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I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to ~emain i~ FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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(Na
.,t~,~,r~r~~,:,, EDWARD J. ,NITCHBLL
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S~worn tq ~'-subscribed before me this 6th day of MarCh , ~q 69
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".~'~'~i ~iC / r-~~ ~TRAS ;
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UIT COU Notary Public
8y ` D.C. My Commission expires
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R~ b~ ~x~arl~d in duptiuta and ori~inal fil~d witb Cf~lc qraiif Couh, and d~pliuN wiTh Tax At~.l
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` So~'c1?~ r~ 19B
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