HomeMy WebLinkAbout0346 Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCiE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accardance and ~
in conformiy with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal ~es~denr of _____Lenoir _ North Carolina _
(City) (State)
225 Rectory Hill
and I resided at _ _ _ _ _ _ _ _ However 1 have changed my domiu~e ;
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(Street and Number) ;
lSth 1
to and am and have been a bona fide resident of the State of Florida since day of
~ November 69 1212 South llth street
, 19-__, and I reside at
- (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, 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.)
::stablishing residence and applying tor homestead
FILED AND RECOROED
ST. LL'CIE COU~~TY, FLA.
n:...~1^ .~:-~lC~~n
_ _ _ ~CJOII~~a) t
. '70 7 P~4 2: 2 y
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CL~Rr: ~;;;~J~T COURT
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I FURTHER GERTIFY that 1 will comply with al) other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
: . . . . ^ i
. - ~~lo1LJ p~~..~-~' -
' - (Name) }
~ . ' Helen B. Truesdell ( Mrs Robert)
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~ ' ~ _ - (Address)
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~ Sworn to and subscribed before me this ?th day of January ~ 19 70
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~ R ER POITRAS
~ K CIRCUIT URT Notary Public
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~ 8y ~.C. My Commission expires
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~ (To bs executed in dupliwte snd original filed with Cleirlt Circuit Court, and dupliut~ with Tax Ass~ssor.)
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