HomeMy WebLinkAbout0653 ~1`75'721 '
Decl~ratio~ ot Dorr~icile and Citisenship
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TO THE STATE ANO COUNTY TAX ASSESSOR, ~
Sl. lUCIE COUNN, FIORIDA: ~
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TF~is is my decla~ation of Domicile and Citizenship in the State of Florida that 1 am filinq this day in aaordanoe and
in oonformity with Chspter 222, Section 222.17, Florida Statutes.
Matertown Cohn. i
I was fo~merly a legal ~esident of
(City) (Staro) ~
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1
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and 1 resided at _~Q1_1ow FOad • ~OUte 1 , However i hsvethan~ad my domiCjle
(St~eat and Number)
to and am and have been a bona fide ~esident oi the State of Florida since 20t h day of
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I~ovember , ~9 and 1 reside at Route 1 Bnx ?_R ntci Dix~P Nwv
(Street and Number)
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iFORT rIHtCE, SAINT lUC1E COUNTY, RORIDA ~
and this statement is to be taken as my declaration of citizenthip, actual legal residenoe and domicile in the State of Horida. ~
(Insert here any pertinent fatts, such as sale of propeNy or bt,sineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~;stablbsh Residency for homestead
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FILEO ANO FtECOROED
S7.~
U~CR~ ~ERIFlFDL~
1'75'~1 -
'69 MAR I7 P~! 2: 31
b,"'J _
pQ~~ R r01T~i+~S
CLERK CIRCUIT COURT
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~ I FURTHER CE~tTIFY that 1 will aomply with all other raquirements of a le~al resids~t of this State. ~
1 FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to remain in FORT i
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently. i
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(Name) I+irs. Frances Wood
~ . (Address) .
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~ 'O~Jv~ ~ . 17th March '
~ j r~:5~worn to. At~Q wbscribed before me this day of , 19~~.
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Te1TRAS
~ IT ~ Notary Public
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8y~ D.C. My Commission expires
Re b~ ~oaurhd ie dupltcalr and eri~isal til~d wi* Cl~lc Cinaiif Cowf, aed d~icaN wilb Ta~c As~erJ
~ a00x MCE
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