HomeMy WebLinkAbout0161 Declaration ot Dorr~icile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE i.OUNTY, FLORIDA: '
This is my dedaration of Domicile and Citize~ship in the State of Florida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes. f
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Oceanside, L. I. New York ;
I was formerly a legal resident of _ _ _ - -
_ (City) (State) +
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t
a54 Silver Lnne s
and 1 resided at - - - _ - - - . However 1 have changed my domitile j
(Street and Number) ~
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to and am and have been a bona fide resident of the State of F(orida since ___AU~St day of
, 19
~l4, and I reside at ._~__ROUt@ ~ BO~C 276~
FORT PIERCE, SAINT LUCiE COUNTY, HORIDA ~
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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 here any pertiRent facts, such as sale of propery or bus+ness, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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Fi~ing for homestead Eaemption
FILED AND RECORDED
ST. LUCIE COUNTY, FLA.
t::-f.~p~, ~~c[:~~1~7
18! 8~ u
'?0 JAN 5 PM !2: 13
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I i:C'.~~' R i-~~ITRt.S _
CLERK CiR~IlIT COURT
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I FURTHER CERTIFY that 1 will comply with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no iniention to return to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
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(Name) Charles gee
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" (Address) ;
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Sworn to and subscribed before me this Sth day of Tanuarp ~~q 70 , ~
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~ . ~ ~OGER POITRAS ~
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~ CLFRK CIRCUIT COURT Notary Public ~
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By ' D.C. My Commission expires
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Ka (Yp~ ~~i ~«cecvted in duplicate and originsl ~led with Clerlt Circuit Court, and dupfiuts with Tax Assessor.) '
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BOOK~~z PACE ~~O
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