HomeMy WebLinkAbout0547 1881~2. ~
Declaration ot Oomicile ~~d Citizenship . ;
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TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE ~OUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that 1 am filing this dsy in atoo~tlanoe and
in conformity with Chapter 222, Section 222.17, Florida Statutes. -
1 was fo~merly a legal resident of Bsst Su ti Nex Yos~
(C~tY) (Stste)
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and 1 resided at Hubbild ROad _ However I have changed my domidle ;
(Street and Number) !
to and am and have been a bona fide resident of the State of Florida since aSth day of
Octobes , 19 69 and 1 reside e~ 616 Beach A~e. Ri~er Part
- - IStreet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIOA
and this statement is to be taken as my declaratio~ of citizenship, adual legal residence and domicile in the State of Ho~ida.
(Insert here any pertinent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domitile, purchase of home, etc.) ~
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FILE-D-~ND RECORDED
Homeatead ST. LUC~E COUNTY. FLA.
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Reaidsnce 1~$162
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'70 J,~~! I 2 Pi~ IZ : 00 ~
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;,r,~_-~ =~p~Tp~$ . f
CLERh CIRCUIT COURT ~
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I FURTHER CERTIFY that I will oomply with all other requiremenn of a Itga) reaident of thia Stste.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name)
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1-
-~;,~~'~:""""'f~~-, 616 Besch, A~e, Ri~er Part
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, J ~ , . ` :aG (Address) `
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~ Syvorg ?Q:~ ~ cf~-~'ubsiribed before me this 12th day of ~rjC , 19.SQ..
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~(~Nt COURT Notary Public
By + D.C. My Commiss'wn expires j
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(To b~ uacuhd in dupliub snd oripinal filed whh Cl~rlc Grwit Court, and dupllcat~ with Tax Asas~o~.)
800K ~V~ PA6E 545
No. 13 - - - - -
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