HomeMy WebLinkAbout0196 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA-
This is my declaration of Domicile and Citizenship in the State of Florida that I am fifing this day in accordance and
in conformity with C!::.,:ter 222, Section Z22.17, Florida Statutes.
1 was formerly a legal resident of pawtUCYc! R.I.
(C'~~ - - (State)
and I resided at __1?2___LlbtltY StlCCt _ However I have changed my domi6ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since day of
Lt . 19_-, and 1 reside at a
(Street and Number)
FORT PIEkCE, SAINT LUCIE COUNTY, FLORIDA
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 pertineni fads, such as sale of properry or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence S_F~~L~;!~~0 R
C•- Cn EC~RD
' ' ~.l l; r. ~/,?f T,, ~0
Applying tor ho:nestead ,jo ~~;~~?`=l~D~Q'
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3 , 32 f
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~ I FURTHER CERTIFY that I will compiy with all other requirements of a(ega) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiule, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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' ~ • (Name) ~
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~ • ~ " - ~ Raymond H~ Foehr ~
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~ 'i:`j~ (Address)
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~ Swom to and subscribed before me this 5th day of danuarv , 19_?.0
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~ ROGER POiT~AS
~ K CIRCUIT COURT Notary Public
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` ~.~c~' C~C~~,~.~/~L~°.~'
~ gy D.C. My Commission expires
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f~ (To be executed in duplicate snd original filed with Clerk Grcu~t Court, snd dupUats w~th Tax Ass~sso~ )
~ ° k 1~~ PACE 195 `
' 600K ~
~ ko. 13
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