HomeMy WebLinkAbout0811 i
Oeclaratton ot Domtcile an~! Citizenship
~ ~
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, fLORIDA:
This is my declarotion of Oomicile and Citi=enship in the State of Florida that I am fili~g this day in aooordanos and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Wachuls Plorida
I was formerly a legal ~esident of
(City) (State) ~
R
118 So. Sth Ave
and I ~esided at . However I have changed my domidle ;
(St~eet and Number)
to and am a~d have been a bona fide resident of the State of Florids since July 16 day of ;
, 19 69 , and I reside at 'i~ N• 32nd St ree t
(Street and Number)
FORT PIEltCE, SAINT LUCIE COUNTY, FLORIDA `
and this statement is to be taken as my declaration of citizenship, actual legal residence and domidle in the State of Hcrlda. ;
{
(Insert here any pertinent fads, suth as sale of property or business, or relinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
Piling for bomeste4d exemption
FILEO AND RECORDED
S?. IUCIE COUNTY, F~,4.
^C'1QC ~~ER!~;ED
~ ~~83~.2
'10 J;~I~ t 5 pM ~2 ; 3 q /
'i =~O~-E%i ~'OiTRti'~~~~
~L~RK CIRCUIT COURT'
I FURTHER ~HtTIFY that 1 will aomply with al) other requirementt of a leyel resident of this Stste.
I FURTHER CERTIFY that I hAVe no intention to return to my former domitile, and I intend ta remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
d~- "
v
(Name) Mebe 1 y
(Address)
15 January 70
Sworn to and subscribed before me this day of . 19 •
. . 't
ROGER ROt1'RAS ~
CIERK CIRCUIT COURT Notary Public ~
- - - i
gy. D.C. My Commiuion expires ;
i~ ~ f
- i
j
. y.(s•: -
i~
~ lTo b~ ~x~ait~d in duplicat~ and ori~inal fil~d with Cl~rk qrwit Cour~, snd dup~ical~ wtth Tax Asse~oa)
~ , ~ s~x 1~`~ ~ ~t~9 ~
~ - j
~ r
~
~ -
: ~ ° _ + ~ ~ ~ ~
_~~~~-~'~a~t
-a
:x_ . ~~-3~ _ , . ~a . ~~"...s?