HomeMy WebLinkAbout0240 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
in conformity with Ch~pte~ 222, Settion 222.17, Florida Statutes.
I was forme~ly a legal ~es~de~r of Rocheeter _ New York _
(~;fy) (State)
51 Kilbourn Road
and I resided at However 1 have changed my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since OCtObeT 15 day of
_ 69 , a„d i r~;de ~r 185 Jardain Road, NE (Port St Lucie )
(Street and Number)
FORT PIERCE, SAfNT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, adual legal residence and domicile 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 of family to new domicile, purchase of home, etc.) `
Filing for homestead e~cemption
FILED ANa RECORDED
ST. LUCIE COUNTY, FLA.
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CLERK ~~!?~~iT CQURT
I FURTHER GERTIfY 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 domi4le, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
_ ~ ~ o~..~ ~ st
(Name) ~~3[ut E . ~
~ ~ Albert Manchee
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~ i/ ~ //7a7r rr~~ ~
~ (Address) ADAe E Manchee
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~ Swom to and subscribed before me this 6 day of January , 19 ?0 .
~
ROGER POITRAS
~ CLERK CIRCUR COURT Notary Public
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~ gy ~ D.C. My Commission expires
~ / • ~ .
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~ (To be ~xecuted in dupliute and original ~iled with Cleric Grwit Court, and dupliut~ with Tax Ass~ssor.)
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