HomeMy WebLinkAbout0534 Declaratlo~ ot Domicile and Citizenship i
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TO THE STATE AND COUNTY TAX ASSESSOR, E
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51. IUCIE COUNTY, FlORiOA: ~
This is my declarotio~ of Domicile and Citizenship in the State of Florida that I am filing this day in acoordanoe and
in co~formiry with Chapter 222, Section 222.17, Florida Statutes.
1 was forme~ly a legal reside~t of ~rth port, L• I~ N@M YOt~
(Ciy) (StaM)
and 1 resided at 19 Gatf ~eld Stilet _ . However 1 have changed my domicjle
(Sireet and Number)
to and am and have been a bona fide resident of the State of Florida si~ce N01?Citber_ 6 day of ~
4
, 19 68 , and I reside at 111 St. Lucie LSt1e -
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FIORIDA
and this statement is to be taken as my declaration of citize~ship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, 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.)
FfLED AND RECORDE~J
ST. LUCIE COUNTY, FLA.
Piling for homestead exemption ~~f.CO~n vCR~Fi~o
18814~
'ZO JA~J 12 AM II: 06
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-?C~~~~~ ~ 0lTRaS
CLERK CIF~CJIT COURT
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I RJRTHER CERTIFY that 1 will comply with a1) other requirements of a leyal resident of thts State.
1 FIJRTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
r-~ C / is~~lyr,~..~ .
(Name) JOStph A Gillmau
111 3t. Lucie Lane, Route 4, Stuart ~
(Address)
Sworn to and subscribed before me this 12 day of `j~uaty ~ 19 70 ,
ROGEk POITRAS '
CLERK CIRCUIT COURT Notary Public
8y D.C. My ~ommiuion expires
(To b~ ~x~cutad in duplicat~ and ori~ina~ fil~d wilb Clalc Grcuit Courf, and duplicah with Tax A~s~s~or.)
B00l110~ PACE 5c~~
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