HomeMy WebLinkAbout0334 Declaration ot Dornicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am fili~g this day in accordance and
in conformity with Chapter 222, Section 222_17, Ftorida Statutes.
1 was fo~merly a legal res~dent of _ San_ An~e lo Texas
(City) - - - - ($tate)
;
JtX]~X7C7tRx However 1 have chan ed m domiCile
and I resided at - - - - - • 9 Y
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since __.~~X~EI day of
_--~-~5- ~tEZZS-~.------ • d-t-restde-at----Afl~-~~-@ - _
(Street and Number)
fORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal reside~ce 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 homestead Exemption
FII.ED A~~~ RECORDED
ST. LllClE COU:':TY. FLA.
_ r~.-, rn~~ "p
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;
~io ~a~~ ~ ~ ~ ~ ~ ys~.
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i C~ ~RK Cin~UlT COUR
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1 FURTHER CERTIFY that I will comply with all othe~ requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic.ile, and I intend to remain in FORT
PIERCE; SAINT LUCIE COUNTY, FLORIDA, permanent{y_
~
(Nam r .1. French
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~ (Address)
~
.Sworn to and subscribed before me this day of January ~ ~q 70
~
~ ~ ROGER POITRAS
~ CLERK CIRCWt ~COURT Notary Public
~ ; ~ /
g~ C CC~'? D.C. My Commission expires
~ y ~ k
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~ (To be sxscuted in dupliute and original ~iled with Clerlc Grcuit Court, and dupliute with Tax Assessor.) ~
~ BOOK~~z PACC 33 ~
z
No. 13
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