HomeMy WebLinkAbout0364 i
Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am fili~g this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
a
I was formerly a legal resident of ~__~G~Li11~Qn E
~~;ty~ (State) ~
~
t
529 Wtst 3rd . However 1 have chan ed m domitile
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 _ AugLl__,_ day of
- .-79~9
: a~ ~ GG~
(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 domicile in the State of Ho~ida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at forme~ domicile, removal of fc+r~~ij~ t~ r~e:v domicile, purchase of home, etc.)
Filing for homestead exemption
F~lEO AND RECORDED~
ST. LU~tE COUt~TY, F~A. '
'd~:.~~!EL~ 4
188022
'7Q JAFI 8 A1y g; 3 y
,I ~
( '`~~'E. r~Q(~~~% :S
i ~L~~~ C!RCil17 COURT
~
I FURTHER CERTIFY that I will comply with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that 1 have no intention to ~eturn to my former domiqle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. \ •
~ -c.•C~(.Gt~
~
(Name) Will G e
~ , ~ ~--.~.t.~..~~ :
~ ~~-Tre~a S Lee
.:Swwn,to end.subxribed before me this R day of i~LSry , 19-7Q•
= - - - ~
ROGER ;Pbl~i~l?S `
CIERK GtR~W~ ~LOURT Notary Public ;
. _ . - ~
gy ~ D.C. My Commission expires ~
- i~~: ~
f~ (To bs sxecuted in duplicst~ and original filed with Gerk Grcuit Court, and dupliuts with Tax As~ssor.)
~ r,~ „ 600K182 362
~
- - - - - - : a
. _ _ ,