HomeMy WebLinkAbout2587 Declaration ot Domicile and Cttizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIOA:
This is my declaration of Domicile and Citizenship in the State of Flo~ida that I am filing this day in accordance and j
in conformity with Chapter 222, Section 222.17, Florida Statutes. ~
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Norrisville Penn ;
I was formerly a legal ~esident of - •
(City) (State) ~
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Belaire Trailer Court j
and I resided at _ _ _ . - _ _ _ _ _ _ _ _ . However 1 have changed my domiG~e ~
(St~eet and N~mber) '
to and am and have been a bona fide resident of the State of Florida since _ Nov. 1____ day of
2601 No. 53rd Street 1
_ , 19
69 , and I reside at ?
(Street and Number) ~
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former damicile, removal of family to new domicile, purchase of home, etc.)
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Establishing residencq and filing for homestead exemption
FILEO AND RECORDED
ST. LLCIE ~COUNTY, FLA.
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18 i 5()8
i '69 D~C 23 PM Z: 57
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CLERK C~RCUIT COURT ~
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I FURTHER CER7IFY ihat I wil! comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
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PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_ !
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' (Name) ~
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(Address) ~
~23rd December 69
Sworn, to and subscribed before me this day of . 19 •
ROGER POIIRAS
CLERK GRCUfT COURT Notary Public ~
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gy ~ D.C. My Commission expires ~
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Ro ~~x~cuMd in dupliwts and originsl filsd with Clerk Grcuit Court, and dupliwt~ with Tax Ast~stor.)
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