HomeMy WebLinkAbout0710 . j,Dsclaration ot Domicile a~d Citizenshlp +
I
TO THE STATE AND ~OUNTY TAX ASSESSOR,
Si. tUC1E COUNTY, FLORIDA:
Thia is my dettaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordanoe and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a tegal resirlent of Bri~ Ye~~•
~ (City) (StaM)
and I ~esided at 3044 Wiltsil~ Rd . Iiowever 1 have cF~anqec! my domic,iie
(Street and Number)
to and am and have been a bona fide resident of the State of florida sinoe ~9 ZS day of -
809 Bail A~eaue
, 19 69, and I reside at
. (Streel and Number)
FORT PIdtCE. SAIN? LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual iegal residence and domicile in the StaM of Horida. ;
(Insert here any pertinent fads, such as sale ot property or business, or relinquishment of employment
at former domicile, removat of family to new domicile, purchase of home, etc.)
Filing for hovestead exe~nption
FILEO AND RECORO~`A.
ST. LUCIE COUNTY,
nc••n~?~ V~RlF~EO
1.8~2~J
'70 JA~ 14 AM 9 :36
4~
r H~,:;: f-~iTRAS
CLERK CIRCUtT COURT
I FURTHER CEitTIFY that 1 witl oomply with alt otfier requirementt of a feyat resident of thi: Stete.
; I FURTHER CERTIFY that I have no intention to retum to my former domicjie, and 1 intend to remain in FORT
` PiERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
E
I f ~ ~j~(. ? • \
.I' ~
~ (Name)George H Stroag
~ _
• - = . , (Address)
i
~ Swom ro and subscribed before me this i'~' day of Jao us r9 , 19 7~ ~ f
~ _
_ . _ ~R•pORRAS
; " ~ ;
:~C: ~iItC1lR C~URt Notary Public
i 8Y D.C. My Commission expires
~
; Ro b~ ~x~cvt~d in dupliub and ori~ fiMd whb Cl~rk petiuit CouK, snd duplicat~ wHh Tax A~ora
` B00~ 1C7~ YACE 7Q8
' No. 13
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9
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