HomeMy WebLinkAbout0941 Declaratlo~ ot Dornicile and Cttisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
ST. lUC1E COUNTY, FLORIDA:
This is my declaration of Oomicile and Citize~ship in the State of florida that 1 am filinq this dsy in sooo~dena and
in oonformity with ~hapter 222. Section 222.17, Florida Statufes.
1 was forme~ly s legel resident of Boardman OhiO
(City) (State)
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and 1 resided st 235 Argyle Ave.. . However I have chanflad my domit~le
(Street and Number)
to and am end have been a bona fide resident of the State of Florida sinoe 3rd day of
Decesber , 19 69 , a~ ~ reside ar 2013 St. Lucie Blvd.
(Street and Number)
FOAT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residenoe end domicile in the Stats of Horida.
(Insert here any peninent fads, such as sale of property or busineu, or relinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.) ' {
(Honestead Exemption) ;
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F~LED AND RECORpEp
' ST.IU~~E U `
. i~. ~n~ CprNTY Fla " !
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188~82 ' ~
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1 RJRTHER GfRTIFY that I will oomply with all~ other rsquirements of a leyal resident of thls State.
I FURTHER CERTIFY that 1 have no iniention to retum to my fomner domiGle, and 1 intend to ~emain in FORT
PIERCE, SAINT LUCIE COUNTY, fIORIDA, permanently. KSy BOdtlst
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z 2013 St_ Lucie Bivd_ ~
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19th J~n uary ?0
5 Swor.n`to and subu~ibed before me this day of 19 . . i
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~ . R 'FOITRAS
~ ~ . C~CUIT COURT Notary Public
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~ 8y ' D.C. My Gommiuion expires
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