HomeMy WebLinkAbout0658 1~5~4
~eclaratlon ot Domicil• a~d Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
S1, IUCtE COUNTY, FLQRIDA:
This is my declaration of ~anicile and Citizenship in the State of Florida that I am fili~g this day in sooordanoe and
in conformiry with Chapter 224, Section 222.17, Florida Statutes.
I was formerly a(egal ~es~denr of Perkiomenville pa•
(Cty) tStats)
and 1 ~esided at ~ . Howevef I have tharpsd my domkik
(Street and Number)
b and am and have been a bona fide ~esident of the State of Florida since lOth day of
Sep~. _ , 19~L~, and 1 reaide at 121 SS Alde.~t Court _
(Street snd Number)
FORT riERCE. SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to be taken as my decla~ation of citizenship, aciual legal residence and domicile in fhe State of Horida.
(Inse~t here any pertinent facis, such as sale of property or business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) -
~stablish Residency for homestead
L'75'7~ -
NO RECOR~E~~
~IIED A ~OUNTY. ~LA•
~
. ST. LUCO~Q vE Rt~ ED
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, 9~,~R I 1 P1~ 2' S~ .
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F~~,~L~ ;=ptT ~OURT
~ CI.ERK C{RCVIT
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I FURTHER CERTIFY that I will oomply witfi all otF~er requirements of a Ispal r~ident of this State.
I FURTHER CERTIFY that 1 have no intention to retum to my former domicile, and 1 intend to remain in FORT
RIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
. `
~ ~°'r'°~Joseph . Keegan
~ ,
f
oroth ~ . egan
~
Sworn to and subscribed before me this ~ 7 t h day of Ma r_ h , 19fi~.
Riliii~ ~ ~OITRAS
.
% CIREdtT Notary Public
,
D.C. My Gommission expires
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