HomeMy WebLinkAbout0410 Decla~ation ot Dor~icile and Cttizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FIORIDA:
This is my decla~ation of Domicile and Citizenship in the State of Florida that 1 am fili~g this day in accorda~ce and
in conformity with Chapte~ 222, Sectio~ 222.17, Florida Statutes.
I was former~y a legal resident of _______MOtZiStOWD_~_ N. .l•
(Ciy) (State) ~
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and 1 resided at _Fl~rence A~eA11e However I have changed my domidle ~
(Street and ~Number) ~
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to and am and have been a bona fide resident of the State of Florida since •jut~e 2_ day of
:
River parY '
_ and ~ reside at ~66 C ress i'oz3x9tzic~c=i~ ~
-a~l-bvmbE
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.
(Insert here any pertine~t facts, such as sale of property or business, or relinquishment of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
1
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Filing for homestead exemption
FILED AND RECOROEO
S7. Ll!CIE COUP:TY, FLA.
-_..nF,., t,ct~te''~ D
:18~f~ ;:i
'70 J~'J 8 PM I: I~
f .
-;,i._R:.s
CLEZ?C C?~~UIT C~i1RT_
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I FURTHER CERTIFY that I will comply 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 domiti~e, and I intend to remain in FORT '
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name) Jeafl B Perrucci
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~ (Address) , ~
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~ Swarn to and. subscribed before me this 8th day of January ~ 19 70
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~ ROGER POITRAS~:
~ CLERK CIR4N1~ COt1RT Notary Public '
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~ gy - D.C. My Commission expires ~
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~ (To bs sx~cvted in dupliute and original filed with Clerk Grcuit Court, and dvpliut~ with T~x Ass~ssor.)
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~ BOOK~~~ P1?GF YOS
No. 13
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