HomeMy WebLinkAbout2230 Declaratio~ ot Domicile and Citizenshlp
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Flotida that I am filin~ this day in aooo~dano~ and
in conformiy with Chapter 222, Sectio~ 222.17, Flo~ida Statutes.
I was fwmerly a legal resident of Aorthville Yiahigen
(City) (Stah)
and 1 ~esided at _ ~ g2~~ JAm86tORII Girole .~WSVar 1 have chan~ed my domidle
(Street and Number)
b and am and have been a bona fida resident of the Stste of Florida since October 22 day of
, 19
6~, and I reside at 12~ Aeet FT1s8 Viete 819d
(Street and Number)
FORT r1ERCE, SAINT tUC1E tOUNTY, RORIDA
and this statement is to be taken as my declaraYwn of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as safe of property or busineu, or relinquishment of employrneRt
at former domicile, removal of family to ~ew domicile, purchase of home, etc.)
Betabliehing reeidency with intent to file for homsetead ezemption
FILED AWD RECOR~EO -
ST. LUCIE COUNTY. FLA.
~~~~R~s~3 °
'69 OCT 29 PH 3: 2Z
~ ~
i ~ _ . ~o~~r~ ro~Taa
~ CLERK CIRCUIT CdURT:
i
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1 FURTHER CERTIFY that 1 will aompiy with all other raquirements of a lepal resident of thk State.
i FURTHER CERTIFlf that I have no intention to retum to my former domidle, and I intend to remain in fORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
D' ,
~ ~ ~ 8~ ~
~ / f
~ • (Address) ]del ~1e ]i[csHugh
~ - , _
SwoFn ~fo.' end~suliauibed before me this 29 day of OCtObaT , ~q~,
: ~ ,°i
. RQ~tR lOITRAS:
C~ERK CNtCUR COURT . Notary Public
gy D.C. My Commiuion expires .
• i.
(To b~ ~c~cubd in duptisab and ori~inal fil~d wilh C{~ek Gra~if Cou~, and duplisal~ whh Taot AwMer.1
~o~C~~O ~~~7
No. 13
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