HomeMy WebLinkAbout0219 Declaration ot Domicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCiE COUNTY. FLORIDA:
This is my declarotion of Domicile and Citizenship in the State of Florida thst I am filing this day in acoordance and
in conformity with Chapter 222, Sedion 222.17, Florida Statutes.
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I was formerly a legal resident of ~mi_-- _FlOT1d9 _
~C;ty~ (State)
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3921 ?~IV~1 12th Street '
and 1 resided at However 1 have changed my domiG~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since -_~'_~~L._____~- day of
, 19~2~, and I reside at 211 Olive Avenue _
- reet an um r
FORT PIERCE, SAINT LUCIE COUNTY, FLORtOA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domitile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal af fami~y to new domiciie, purchase of ~ome, etc.)
Filing for homestead eaemption
FILED AND RECOROEO
ST, LUCIE COUNTY F~q,
~~ct~nn v~a~=~F~ 1
.l.~~f i:~f) i l~
'70 JQ1~ 6 AM 10: 33
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CLERK `~iRCU1T COUr~T
1 FURTHER CERTIFY that I will oomply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to ret~rn to my former domiCi~e, and I intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FIORIDA, permanently.
' ~/'(/JL~
(Name) Dal~iel F e8tfe11 ~
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(Address)
S',viorn. to and subscribed before me this 6th day of January ~ 19 70
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ROSEIt PtNTRAS
~ . " K CIR~1R~ COURT Notary Public
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~ gy ` D.C. My Gommission expires
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(To bs ~xecuted in dupliwte snd originsl filsd with CIlrk Grcuif Court, and duplicsts with Tax As~stor.)
~ ~ „ $ooK 182 ~~E 218
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