HomeMy WebLinkAbout0932 t
r
; Declaratio~ ot Domicile and .Citizenship
~
~ - ~
~ TO THE STATE AND C~UNTY TAX ASSESSOR,
~ ~
!
~ ST. LUCIE COUNTY, FIORIDA:
~
j This is my declaration of Domicile and Citizenship in the Ste~a af Florida thst I~m filinq this day in aaoord~nos and
~ in oonformity with Chapter 222, Sattion 222.17, Fbrida Statutes.
~ •
I ~
+ 1 was formerly a legal ~esident of Brookliae Maas.
I (City) (Staro)
1
~ ,
and 1 resided et 50 PBrk St. _ Howevef 1 have cfiarpsd my domic3le
(Street and Numbe~) ~
~
to and am and have bean a bona fida resident of the State of Florida sinee Atb day of I
~ . t
September 69 1902 YorY Ct. f
f , 19 , and I roside at
~ (Street and Number)
, I~ORT PIERCE, SAINT LUCIE COUNTY, RORIDA
,
~nd this statement is to be taken as my declaration of citizenship, actual legal residerxe and domidle in ths Stats of Horida.
` (Inse~t here any pe~tinent facts, such a: sale of property or busineu, or relinquishment of employment
~ at former domicile, removal of family to new domicile, purchase'of home, etc.)
f .
~ • "
S
~ (Hovestead Bxemption)
~ FIl.EO AND RECORDED~
. ST. LUCIE COUNTY, FLA. ~
. ?:.~0~7 ~!E~IF~EQ
~ ~884`75 ~
'TO J~N I9 AM 10:2I . .
~ ~
~
~ j :i~C'~t~, ~ l7~ i ~r"~S ~
' r CL£RK CIRCUI~ COURTj
I~
1
.
~ I FURTHER CERTIFY that I will oomply with all other requireme~ts of s legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORtDA, permanently. Mildred Hite
~
(Name)
_ 1902 York Ct. '
' f:
' . , J f - (Address)
- ~ . ~ ' •r .
.
Swajrn.t~ arx~ subscribed before me this 19th day of _T~a uary ~q~~,
, ~ i . ~ - y
. • ti ~ !~f
. _
:I: ' ~ttRSUIT COURT Notary Public '
By ~ ~.C. ~ My Commiuian expires
i
- (To b~ ~x~cut~d in dupliut~ an$ a~iq~ ~d wit CircuN Court, and dupliut~ with Tax Ass~s~ora .
~
600K l0~ PAGE s
f~
No » ~
~ H
~C~ . I -a.
~ ~
r~_~i~
_ - ~~'~~'r`s~`'~,~~