HomeMy WebLinkAbout0248 Declaration ot Domicile and Citize~ship .
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TO THE STATE AND COUNTY TAX ASSESSOR, ?
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Sl. IUCIE COUNTY, FIORlDA: ~
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This is my declaration of Domicile and Gitizenship in the State of Florida ihat 1 am filing this day in acmrdance and
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in conformity with Chapter 222, Section 222.17, Florida Statutes. ~
Queeos Countq New YorY ~
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I was formerly a legal ~esident of - A~~~iXx~~s ~~~~Y _ °
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iCiy) (State) ~
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and I resided at 18241 JatQacia A~/Q. _ HpWever I have changed my ~omi~iie
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ___~~9e 1____ day of
_ _ , and 1 reside at • ^ f
(Street and Number) ;
fORT PIERCE, SAINT LUCIE COUNTY, RORIOA
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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 Flarida.
(Inse~t here any pertinent fads, such as sale of property os husiness, or relinquishment of emptoyment
- at former domicite, removal of family to new domicile, purchase of home, etc.)
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Filing for homestead exemption
F~~'E~ AM~ RECOROED ~
ST. LUCIE CQJIITY F~A -
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I FURTHER CERTIFY that 1 will comply with all other requirements of a tegal resident of this State. ~
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1 FURTHER CERTIFY that I have no intention to return to my for er domiule, and 1 intend to remain FORT ~
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PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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~ (Name) Kenneth R. South ;
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~ Sworn to and suburibed before me this 6tb day of ~ January ~ ~q 70 . ;
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~ ROGER PORRAS ~
CLERK CIRCUIT COURT Notary Public ~
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~ By ' D.C. My Commission expires i
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~ (To b~ ~xecuted in dupliute snd original ~iled with Clerk Grwit Court, and duplicaM with Tax Assessot.)
~ BOOK 1$2 PacE ~46
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No. i 3 .
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