HomeMy WebLinkAbout0791 Dectaratlon ot Oamlcife and Citlzenshlp ,
TO THE STATE AND COUNTY TAX ASSESSOR, -
S~. LUCIE COUNTY, FLORIDA:
This is my declarotion of Oomicile and Citizenship in the State of Florida that 1 am filing this day in aooo~danos and
+n conformity with Chapte? 222, Section 2Z4.17, Florida Statutes.
I was forme~ly a lega) resident of Ol,sj TaDpen ~eW J@I'S@y
(Ciy) (StaM)
end 1 resided at 188 Whlte AVe . Flcwever I have changed my domicjle
(Street and IVumber)
to and am and have been a bona fi~a rasident of the State of Florids since 2~th da,y of
October 69 1002 16ar~inique
, 19 , and I ~eside ai
(Street a~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORl~A j
and this statement is to be taken as my declaration of citizenship, actua{ legal residence and domicile in the Stab of Florida. i
(Insert here any pe~tineni 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.)
Tstablishing residence and applyinf for homestead
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1 FURTHER CERTIFY that I will oomply with all other raquirements of a teqal resident of this State.
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i FURTHER CERTifY that i have no intention b retum to my former domicjle, and ! intend to remain in FORT ~
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. j
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, ,
~ . . , - • (Name)
- Benneth Proske
~ - ~ (Address)
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Sworn to and subscribed before me this 15th day of Januar ~ 19 70
ROGER POITRAS
CIRCUIT COURT Notary Public
BY O.C. My Commission expires
(To b~ ~x~cut~d in dupifcat~ and ori~inat Rf~d with GKk Ci~ Cou~f, and duptiuh witb Tax As~a~o'
)
r~,. ~ ~ 600K ~v2 PACE .7~9
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