HomeMy WebLinkAbout0858 Declaration ot Domicile a~d Citisenship
TO THE STATE AND COUNN TAX ASSESSOR,
57. LUCIE COUNTY, FIORIDA: .
This i: my declsration of Oomicile and Citisenship in ths Stat~ of Florida that 1~n? filinq this day in aooordanoe and
in oonformity with Chapte~ 242, Section 222.17, Horida Sta~.
I wa: formerly a le~sl ~ssident of Fanw oo d h ew J er s ey
(City) (State)
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and 1 rosidad at 214 Buz`ris W8y However 1 haw chanysd my domidle
(Street and Number)
ro tnd em a~d hsve been a bona fide rosident of tMatate of Ftorida sinoe 2IId ~y ~
~T ~ne , 19~_, and 1 roside at 2609 Oleander Ave.
(Street and Number)
FOA? PIERCE, SAINT LUCIE COUMY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual leyal residenqe and domicile in the State of Horida.
pnsert hera any pertinent fads, wch as sele of property or busineu, or mlinqui~m~+t of employment
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at former domicile, romoval of family to nsw domicile, purchase of homs, ~ ;
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~ ' t
(Homestead Egemption)
~ ~ILED AND RECOROED= ~
5T. LUCIE COUNTY. FLA.
• ~r cop~ vFRir~F~
188412 ~ . .
'70 JAN I 6 AM I I: 3 6
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~ RO~~? = OtTR S
' CLERK CIRCUIT COURT•
~ i RJRTHER ~ERTIFY that i will aomply with all othsr rsqui~entisnts of a le~al rssident of this Stste.
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1 FURTHER CERTIFY that I have no intention to retum to my former domivle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~rshall Webster
~ ~ "~'yI ~P,u~P
Ma~~
~ . • ;i;':;,. ' 2609 Oleander Ave. ' ~
~ ,:.....,Y. ~
J~'r (Addr@SS) . 1
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= s.:~fr: • ;
~ s.` "t:".;:` ~ 16th January lq 70 ~
~ : i,~~' ~ Sworn fo `air~d subscribed before me thi: day of ~
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~ . ~'~'_'f~`i~pG~A POtTRAS
~ ~ ~ CUIf COURT Notary Publk
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~ By D.C. My C.onunis:ion expires
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~ Qo b~ ax~we~d in dupiicab and o~i ~1 ffl~ ~i)(./ C{~rk Cowf~ and dupticab with Tax A~s~s~or.I
BOOK 1~ PAGE
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