HomeMy WebLinkAbout0355 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformiy with Chapter 222, Section 222.17, Florida Statutes.
Lakewood New Jersey
t was formerly a legal resident of - -
(City) (State)
36 Arlya Drive
and I resided at _ _ - - - _ . However 1 have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~7_~1_ day of
,1ur1@ 1969 and I reside at 175 Honita COUtt
fORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
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.)
Bstablishing residence ~
Applying tor homestead
FILED ANp R~CORQED
LUC~E CrU'JTY. rL.:.
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1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former dom`c,iie, and I intend to remain in FORT
~IERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
~ ~ C~ ,
- t (Name)
~ ~ . : Charles Heinold Jr
~ . -
~ _ ' _ ~
a . . , ~ (Address) .
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~ I~wo~n to and subscribed before me this 7th day of January ~ 19 70
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~ ROGER POITRAS
~ lERK CIRCUIT COURT Notary Public
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g D.C. My Commission expires
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(To bs executed in duplicata and original filsd with Clerk Circuit Courf, snd dupliwts with Tax Ass~ssor.)
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