HomeMy WebLinkAbout0422 ~ '
. '
Declaration ot Domicile and Citizenship
;
i
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
~
im m~fo~miy with Chapter 222, Section 22Z.17, Florida Statutes. ;
S
i
Swanee Vermont 1
I was formerly a legal resident of -
(City) (State)
and 1 resided at $t • wlbans Ve rmont,~ However 1 have changed my domicjle
(Sireet and Number) ;
to and am and have been a bona fide resident of the State of Florida since ._OCt. 3 day of
, 19~~, and I reside at
(Street and Number)
fORT PIERCE, SAINT LUCIE COUNTY, fLORIDA
and this statement is to be taken as my declaration of citizenship, actual lega) 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.)
Filing homestead exemption
FILED HClD RECORDED
. LUC1E t~ ~,U'~TY~FI.~~- t
i , igg(~~t'~ • 4 r~~'
~ •zo ~~.~ti B P~ 2• 3 r
i ~ _ - - : ~ ~
~ ` ~ :,`!T CGUZT
~~~NK C~
~
I FURTHER CERTIFY that 1 will comply with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
i
~ ? • dG~ . ~
~ o ne ~
~ (Na me)
~
~
~ (Address)
~ ~ ~
~ , ;
Sworn to and subscribed before me this 8th day of .TaDUSry ~ ~q ?0 ;
~ ~ r
~ ROQ~FR P~1fRAS
~ ~ CLERK CtRCU1? COURT Notary Public
i -
~ By ~ D.C. My ~ommission e~pires
~ •
~ ' " -
r~ t..: ~ :
Ro ~bs
ncetvhd in duplicate and originsl filsd with Cltrk GrcuH Court, and duplicst~ with Tax Ass~stor.) i
s
~ B~oK 1~2 P~~E 420 ~
N.~. 13 . _
. '
- - - - . .
, . „
- . _ .