HomeMy WebLinkAbout0318 Declaration ot Domlcile and Citisa~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl, IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filinq this day in aoo~rdanae and
in oonformity with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was formerly s legal resident of ABmpton Vii~inia
(Ciiy) (State)
and I resided at _4 MeTi@ C1rC1@ " , Howevsr I hsve chanqad my domWle
(Straet and Numbe~)
b and am and have been a bona fide resident of the State of Florida since December 15 day of
_ , 1969 , and I reside at 750 East PY'ime Vists Blvd.
(Street and Number)
fORT PIERCE, SAINT LUC1E COUNTY, RORIDA
and this statement is to be taken as my decla~ation of citizenship, actual legal residenoe and domidle in'!:~ State of Horida.
(Insert he~e a~y pe~tinent fads, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of famil~+. to new domicile, purchsse of home, etc.)
for homestead purpoeea ~ r -
1~'S457
FlLED AND RECOROEQ
ST. LUCIE COUNTY. Fl q ~
' RECORD vERIFrEp ~ ~ ~
19691;AR I 0 PM I::~~
C9
II C FRK C R UIT
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I FURTHER CERTIFY that I will oomply with all other requirements of a le~al resident of tfiis State.
1 FURTHER CERTIFY that 1 have no intention to retum to my former domic~le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
?
~ "(Name) Samuel T. Edeards
(Address)
Swornto•and•srybscriEied before me thia 10 day of ~BTCh , 19 69
~i
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RQGER-~ITRI?S -
: Cf~fRK CIRCUI~T COtl~T_ Notary Public
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By _ D.C. My Commission expires
_ : ~
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(To !N ixi~~l~'in e~plicat~ snd origtnal fll~d with CfKlc qe~w~ Cou~, and dvplicat~ wi/h Tax As»s~ora
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