HomeMy WebLinkAbout0372 Declaratio~ ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FIORIDA: °
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This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in accordante and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of - _ CZ11Cago _ Ill.
(Ciy) (State)
4118 N Marmora
and I resided at However 1 have changed my domiti~e ~
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to and am and have been a bona fide resident of the State of Florida since AUQUSt day of
,~q 69 , and I reside ai a3? Tranquila Ave (Port St Lucie)
_ Street and Number)
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FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, adual legal residence and domicile in the State of Horida.
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(Insert here any pertinent facts, such as sale of property or business, or relinquishmeni of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Piling for homestead exemption
FILED ~ RECOR~~
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1 FURTHER CERTIFY that I wil} ~ with all other requirements of a legal resident of this State. ~
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I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name) Geo r Du rko~ic , J r #
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Sworn to and subsuibed before me-~this 8, day of January ~ 19 70
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ROGER P~IT1tAS
CLERK CIRC~111Y"COURT Notary Public
8y _ , D.C. My Commission expires '
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~ Ro b~ ix~cut~d in dupliwt~ and original ~iled with Cls~lc Ci~cuit Courf, snd dupliuf~ with Tax Ass~ssor.) '
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