HomeMy WebLinkAbout0129 Declaration ot Donnicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSO4, '
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal resident of _____..__EBSt Aurora _ New York _
(C;y) (State)
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andlresidedat_._____________ 898 OlEal] Rd. Howeve?lhavechangedmydomiGle ?
(Street and Number) '
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to and am and have been a bona fide resident of the State of Florida since Sth day of !
~At1g11S~ i9-64, and I reside at 606 S_ ?,,~A~ St_
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
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and this statement is to be taken as my declaration of citizenship, actual legal residence a~d domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
(Homestead Exemption)
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Fi~EO ar~o
S7, ~UCIE r (jhT~RDEO
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I FURTHER CERTIFY that I will 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 domic,ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. NorriS Albert Kppenhafer
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r 606 S. 22nd St.
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~ . . Sworn to and subscribed before me this Sth day of T~nuary ~ ~q 70 _
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x.~ Roc;~rr;l~4iirtnns
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~ - K';FIRCUIT COUR Notary Public ?
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~ By ' ~ D.C. My Commission expi~es
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Ro bs executed in duplicate and original filed with Clerk Grcuit Court, snd 'duplicats with Tax Asses~or.)
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