HomeMy WebLinkAbout2386 Declaration ot DomiCile and Citise~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. WCIE COUNTY, FLORIDA: ;
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This is my declaration of Domicile and Citizenship in the State of Flo~ida that I am filing this day in accordance and ~
in conformity with Chapter 2~2, Section 222.17, Flo~ida Statutes. ~
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Fairlawo New ~
1 was formerly a legal res~denf of _ Jersey
(Ciy) (Stab)
360b Fairlawn Avenue However ~ have chang~d my domitile
and 1 resided at
(Street and Number)
to and am and have been a bona fide resident of the State of Flarida si~ce ~~_~_9__ ~ day ot
69 1521 Binney Drife ~
_ , 19 and I reside at }
(Stree! and Number) ~
t
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA ;
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and this statement is to be taken ai my declaration of citizenship, adual legai residence and domicile in the State of Horida.
(Insert here any pe~tinent facts, such as sale of property or business, or relinquishment of employment
at former domici(e, removal of family to new domicile, purchase of home, etc.)
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Bstablishing resideacy aad intent to file for ho~estead ~
exemption
FILED ANQ RECORpED
LJCIF C~U~JTY, FL:..
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;1C~~ "~F
s~~ r,. `37'.7
!9 P~1 ?Z : 20
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' ~r" ~S
~-£RK ~~tR~~~IT C~URT
, I fURTHER CERTIFY that 1 wifl comply with all other requirements of a legai resident of this State.
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I FURTHER CERTIFY that I have no intention to return to my former domicGle, and I intend to remain in FORT
4 PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. {
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Y ~ti~,.(,~~Q- ~ 1
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(Name) Henrietta Christian
(Address)
Swom to and subscribed before me this 19 day of ~~ember ~ 19 69 ~
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~ ; ROs3ER POlT~AS • .
~ .~I.ERK CtRCUiT-.GOURT Notary Public }
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BY ' " ~ ~.C. My ~ommission expires ~
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(To b~ ~xetul~d in duplicats and ori~inal ~iled with Cltrk Grcuit Court, and duplicat~ with Tax Ass~ssor.)
,3 eoo~ 1~1 PACE ~~386 ~
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