HomeMy WebLinkAbout0818 Declaratlo~ ot Oomicife ~~d Citisenshlp
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. tUCIE COUNTY, FIORiDA:
This is my declaration of Oomicile and Citizsnship in the State of Fio~ida that I am filing this day in aooordanos and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of VerODi Ne~r YorY
(City) (Staro)
R. D, a
and 1 resided at . However 1 have changed my domitile
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since Sept • 1 day of
, t9 68, end ~ reside at 2300 No. a4~b Street
(Sheet and Number)
fORT PIHtCE, SAINT LUCIE COUNTY, fLOittOA
and this statement is to be taken as my ,:;,:;~:s`~^^ -~±9-e•:~~~•_+. ~.~n,.l r..:~de~ and domicile in the State of Horida.
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(Insert he~e any pertinent facts, such as sale of property or business, or relinquisF~me~t of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Filing for homestead exemption
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1 RIRTHER CfRTIFY that I will oomply with all other requirements of a leyal resident of this State.
i FURTHER CERTtFY that t have no intention to retum to my forme~ dorr~ir,ile, and 1 intend to remein in T~R3
PIHtCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
ame) Rud~olph F. ?lCC1 eq
(Address)
- SyvRrn:~o atid seibxribed before me this - a, 4 da f J~uar ?0
Y o y , 19
. C~~ ~ Not P f
. t ary ublic ~
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8Y ~ ~.C. My Gommission expires
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Re M~x~cvtad in duplicah and oriyin~ fil~d witl~,,4y~t Ci~aiit Cour1, and duplicat~ witb Tax A~a~orJ
a~K1~`~ ~ _ ~1°
No. ! 3 - -
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