HomeMy WebLinkAbout0330 Deciaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformiry with Chapter 222, Section 222.17, Florida Statutes. ~
t was formerly a legal ~es~de~r of _ StanfQrd___~ Connecticut
(Ciry) - - (State)
39 ClaiemODt St reet . However I have chan ed m domitl~e
and I resided at - - - - - - - _ 9 Y
(Street and Number)
Se tember
to and am and have been a bona fide resident of the State of Florida s~nce p___ day of
t9._:_69, and 1 reside ar _ 1704 Wyoming Avenue '
(Street and Number)
i
FORT PIERCE, SA1NT LUCIE COUNTY, FLORIDA -
and this statement is to be taken as my declaration of citizenship, adual 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.)
Filing for Home~ttad Bxemption
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F1L~0 APlG RECORDtO
. 'l~?r~~ r ~J'~TY, F' ~
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'j =i~~'' 7 ~`1 ~ ~ : I 0 ~
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1 FURTHER CERTIFY that I wil) comply with all other requirements of a legal resident of this State. l
I FURTHER CERTIFY that I have no intention to return to my former domiG~e, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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ame) Joseph J Russo, Sr.
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• Sworn~to, and subscribed before me this ~ day of January , ~9 70
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~ - ~ `RO~~! POITRAS
CIRCUIT COU Notary Public
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~ By ~ D.C. My Commission expires
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_ (To be executed in duplicate and original filed with Clerk Circuit Court, snd duptiute with Tax Assessor.)
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No. la
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