HomeMy WebLinkAbout0414 Declaration ot Domicite and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, .
Sl. IUCIE COUNTY, FLORI~A:
This is my declaration of Domicile and Citizenship in the State of Fforida that 1 am filing this day in accordance and
im m~formity with Chapte~ 222, Section 222.17, Florida Statutes.
Hemps tead s
1 was formerly a(egal resident of _x~~11x~0=kX~fYx~Y _ NtM York _ ~
(C;ty) (State) ~
131 ~ Marshall St., Hempstead ~
and I resided at _ However 1 have thanged my domiCi~e
(Street and Number) ~
i
~
to and am and have been a bona fide resident of the State of Florida since ~•jul~? 1 day of
_ , i9 69 and I reside at 168 Bstia Lane, Ft pierce, ~'la
Sireet and Num6er
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicite in the State of Ho~ida.
(Insert here any pertinent facts;,.s~~~ sale of property or business, or relinquishment of employment
at former domicile, rcmocaal of family to new domicile, purchase of home, etc.)
t
~
Filing f or Homesteaa nxemption
D
RECpROE
~1"~~CIED ~UN~Y.rF~ A
rft~. . :
1~a~`7~ i
~ : 38 % y
~
~ '10 A~ ~ p ~
i , ~
' ~
~ , ' ~~'t'~ pURT i
~ C~~PK Clr:;^U11 C s
;
r
3
's
l ~
I FURTHER CERTIFY that 1 will comply with all other requirements of a lega) resident of this State.
. 1
~
1 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. ~
~
v =
(Name) Lawrence Ackerman ;
i
f
~ +
i
~ (Address) ~
Sworn td and wburibed before me this day of , 19 . ~
~ • ~
. ~ . . ~
. ROGER PQlTRAS ~
CLERK CIR44lIT COURT Notary Public ~
.
gy ~ D.C. My Commission expires
. .
.
• n i
v : - s. . !
(To b~ ~x~cuNd in dopliub ~nd originsl filed with Clerlc Grcuit Cou~, snd dupliut~ with Tax Ass~s:o?.) ~
~ eooxl~z Pnr,E 41z ~
~
~ ~ 3
~ ~ - <
~ - _ f.~
z~.a.-~,,.._ ._~.:a . : ~_u:.'~- ~a~