HomeMy WebLinkAbout0255 Declaratlon ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCtE COUNTY, FIORIDA:
This is my decla~ation of Domicile and ~itizenship in the State of Florida that I am filing this day in accorda~ce and
in conformiy with Chapte~ 222, Section 222.17, Florida Statutes. ~
I was formerly a legal resident of --~Q~~411~~ , BCBCh N. T.
(City) (State)
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and I resided at _____~2~__~l~__ROild. However I have changed my domiCile ~
(Street and Number) #
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to and am and have been a bona fide resident of the State of Florida since -___-143h__- day of ;
;
March_ , ~q 68, and 1 reside at 2855 Wiltehir~ Tc_r3ace~ Pt_ yt_ ~»S~e ;
FORT PIERCE, SAINT LUCIE GOUNTY, FLORIDA
and this statement is to be taken as my declaration of citize~ship, actual legal residence and domicile in the State of Florida.
(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.)
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FILED AND RECORDED
Homestead 3~. LUCIE C^U~~TY. FLA.
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I FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
I FURTHER CERTtFY that I have no intention to return to my former , and I intend to remain in FOR7
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ ~
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~ . M L D Kimmei ~
~ (Name) ~
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2855 Wiltshire Terr~ce, Pt. ~
~ (Address) St. LuCie ~ Fla. ~
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~ •'~S.wornio.~rid~subscribed before me this 6th day of January ~~q 70 , ~
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t 1 T ~-.ROG~R PO~ -
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CIRStJ GUR Notary Public ;
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~ By D.C. My Commission expires ~
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(To bs executed in dupliute and original ~iled with Clerk Grcuit Court, and dupliut~ with Tax Ass~stor.)
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