HomeMy WebLinkAbout0878 - Declaration .,ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR.
ST. IUCiE COUNTY, FLORIDA: ~
This ii my dc~-~a~atio~ of Oomicils a~d CiNte~ship in fhs Stah of Florid~ that 1 am filin~ thi: day in aooordano~ ~nd
in oonformiy with Chapter 222, Section 2Z2.17, Flor~ Statutes.
1 was forme~ly a le~al reside~t of Higb Ridge
~C;ty~ (State)
and 1 resided at y• V• 251 . F{owever I have cha~~ed my domidie
(St~eet and Number)
to and am snd have been a bona fide ~esident of the State of Florlds sinoe ~CtObet ~y ~
, t9 69 , and i reside at 2508 Cortez Blvd.
~ (Straet and Numbsr) t
fORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and thi: statement is to be taken as my declaration of citizenship, actual legal re:idenoe and domicile in the State of Horida.
(Insert here any pertinent facts, such as sele of propery or busineu, or ~elinquishment of employment
at former domidls, romoval of family b new domiale, purchase of fwrr~s, etc.)
Filing for homestead exemption -
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~ Ft~ED ANt~ RECORDED' '
ST. LUCIE COUNTY, FLA.
Rr`.COr~i; ~~ERIFIED
188~2~~ ~
'70 JAN 16 PM 3:34
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:ZOG~R POITRAS . •
~ CLERK CIRCUIT COURT~ '
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~ . 1 FURTHER ~ERTIFY that 1 will oomply with all other requiremsnts of a le~si r~ident of thi: Sta:e.
1 FURTHER CERTIFY that I have no inte~tion to mturn to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY; F!
ORI~A, permanently.
V ~ G~
c.~t~Q i9~" ./~LQ
(Name) Barbara Hollis
(p?dd~ess)
Sworn ~to and subsuibed before me this 16 day of 'j~val~ 19 ?0 .
i
cdt~`~~~tl:. _ .
~.~C~SEiF :-POltitl?S
:~~~`;~RK ~iRC11(t_.COU1tT Notary Public
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gy ~ D.C. My Commiuion expires
, 4_. : ~ ~ .
' ~('fd:.b~; ~pii~tid~In dupliut~ and ori~inal fil~d whh G~rk qraih Co~ret, aew! dupliut~ with Tax Ass~~or,1
8001(~v~ PACE ~~(6
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