HomeMy WebLinkAbout0449 ~
Deciaration ot Don~icile and Citizenship '
TO THE STATE AND ~OUNTY TAX ASSESSOR,
Sj. IUCIE COUNTY, FLORI~A: (
This is my declaration of Oomicile a~d Citizenship in the State of Florida that I am filing this day in aooo~dance and
in conformiy with ChaPter 222, Section 222.17, Florida Statutes.
1 was formerly a legal ~esident of T.aGrange I11
(City) (State)
and I residad at 55 ~ 4 So. Madison Ave . ~~„~ever I have changed my domiGle
(Street and Number) '
to and am and have been a bona fide resident of the State of Florida since MBrCh 20 day of ~
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, t9~, and i ~esidc at ~ 80 Tunison Avenue ( Port St Lucie )
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FORT PIHtCE, SAINT LUCIE COUNTY, RORIDA i
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and this statemeni is to be taken as my declaration of citizenship, actual lega) residence and domicile in the State of Horida. ~
(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.)
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Filing for homestead eaemption
FILEO ANO RECORDED~.
' ST. LUCIE COUNTY, FLA.
:~>_~~i27 V+~RIFlFD
i880~5
'ZO JAN 9 AM II: I6
T.,
P.OGE? ~~OI ~ nAS~
CLERK C~RCIlIT COURT'
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~ I RIRTHER CERTIFY that I will comply with all other requirements of a legal resident of thls Stste.
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~ I FURTHER CERTIFY that 1 have no intention to return to my former domiCjle, and I intend to remain in FORT
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PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ (Name) Williem A. s~'gulis
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~ $worlrto.a~d"s~bsuibed before me this 9 day of Januar~ , ~q~,
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~ v~~•~~ '.C1ERK CIRWlt. ~ Notary Public
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~ 8y D.C. My Commiuion expires }
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~ Ro b~ •~x~cut~d in duplicah and ori~fnal fit~d wifh Cl~rk CirwH Court, and duplicaN witl~ Tax Ass~s~or.)
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