HomeMy WebLinkAbout1614 . Declaration ot Domicile a~d Citizenship
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TO TNE STATE AND COUNTY TAX ASSESSOR, ~v~,
Sl. LUCIE ~OUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
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I was formerly a legrl resident of -$t. Charies Illinois _
(C;ty) (State)
Route 3 Norat parlc ~
and 1 ~esided at However I have changed my domicG~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~_~.m_~L- day of
- 19~4, and 1 ~eside at RQllt_e ~ B ~ F3~~
(Street and umber)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA _ j
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert he~e any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing residency for homestead e ion
FILEO AN~ ~UNTY~.
ST. I.UCIE C
RF~oiSS~l .
•69 DEC 9 AM ~ 48
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~ CLERK CIRCUI COUR :
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~ I fURTHER CERTIFY that I will compty with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently.
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~ ' (Na Franlc J. Silha
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` (Address) Vir ginia A Silbs
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~ Swom to and subscribed before me this ~ day ~Cem~r 1~~,
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ROGER POITRAS
CLERK CIRCUIT COURT Notary blic ~ . • s =~Ni ,.•i'`~~. . ~ `
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Notery Pub4e~ S!s'Eeytf tr?;di ~t Ca
~ By D.C. My Commission expir~/ ~°0d~0~ Eipat.~act.3b~t9~2
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~ Ro bs executed in dupliut~ and ori~inal filed with Cl~rlc Circuit Court, and duplicat~ with Tax A~or.)
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