HomeMy WebLinkAbout0526 Declaration ot Do~nicile a~d Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR, !
Sj. IU~IE COUNTY, FLORIDA: ~
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This is my declaration of Oomicile and Citizenship in the State of Florida thst 1 am fiting this day in aooordance and
in oonformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of Ne~r York City NeM 7~0lk State
(CitY) (Stsro)
and I resided at _ 3965 32t1d StrEtt M100d3id! ~ N. X. _~Wever I have changed my domicile..~
(Street and Numbe~) ~
to and am and have been a bona fide resident of the State of Florida since June day of ~
~
i9 69 ~ and i reside at 118 Rose lya Avenue
- _ • (Street and Number) ~
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FORT PIERCE, SAINT LUCIE COUNTY, RORIDA ;
and this statement is to be taken as my declaration of citize~ship, actual legal residence and domicile in the State of Horids.
(I~sert here any pertinent facts, such as sale of property or business, or relinquishme~t of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Filing for homestead exemptioa
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FIlEO AND RECORDEO
S+. LUCIE ~:OUNTY. FLA.
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RO_=~~ ~ OtTRaS
CLERK C1RCUIT COURT
I RJRTHER CERTIFY that I will oomply with all other requiremenri of a leya) resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domi4le, and I intend to remain in FORT
- PiERCE, SAlNT tUCIE COUNTY, FLORlDA, permanent{y.
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(Na Maite J Dwyer
(Address)
Sworn to and subscribed before me this 12 day of isstuate , 19-ZQ.
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ROGER P¢ITRAS . ~
CI,~RIF ~CUIT COUR1;'•. Notary Public
8y , G . D.C. My Commiuion expires
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Qo bi :ix~ti~d .irl:duplkat~ and ori~nsl fil~d witl~ G~rk Grcvh Courf, and duplieab with Tax Ass~or.)
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