HomeMy WebLinkAbout0343 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIOA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Alexsndria Virginia
I was formerly a legal resident of _ _ -
(C~~y) (State)
4104 Dakata Court
and I resided at _ However 1 have changed my domiCl~e
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since gth day of
February 69 12699 So Ind.hiver Drive
_ _ _ , 19 and 1 reside at - -
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicite 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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Establishing residence
AQplying for homestead F~~ED ANp 1~ECOROEG
ST. LUCI~ CpUNTY. FL;
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$ ,
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~ '~0 J~F! 1 FM I: 26:
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a
^ C~~~`~` ~IR~UIT COU~~T .
I FURTHER CERTIFY that 1 will comply with all other requirements of a tegal resident of this State. ~
~ FURTHER CERTIFY that 1 have no intention to return to my former domitile, and I intend to remain in FORT
~r ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
;
_ ~ :
~
y ~ ~ ~
(Name) ~
- Claude A Clef ton ;
~ :
p~
~ ~ (Address)
~
~
~ Swo~n to and subscribed before me this 7th day of -~Januat , 19_~Q
~
~ ROGER POITRAS i
~ LERK CIRCUI~COURT Notary Public ;
~ ~/~,~`-~li
~~G C~ z
~ gy ~ 0.C. My Commission expires ;
~ ~
~
o bs executed in du I~cata snd ori inal ~iled with Clerk Circuit Court, snd du Ucate witl~ Tax /4sessor.)
~ (T P~ 9 P~
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7~ 600K ~AGf
341 ~
No. 1J
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