HomeMy WebLinkAbout0944 Declaration ot Dorr~iCile a~d Citizenship
TO THE STATE ANO COUNTY TAX ASSESSOR,
51, IUCIE COUNTY. FLORIDA:
This is my decla~ation of Domicile and Citizen:hip in the Stets of Florida that 1 am filirp thii day in aooardanos and
in confo~mity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Bettiel Conn.
(Gity) (State)
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and 1 resided at ~ 12U Putmillf Park Rd. , However 1 have chanqed my domic~le
(Street and Number)
to and sm and have been a bona fide ~esident of the State of Florida sinoe 12th day of
November , ~q 69 , and I reside at 2964 Treasure Island Rd.
(Street and Number)
PORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ths Staro of Horida.
(Insert here any pertinent facts, such as sele of properry or busineu, or relinquishment of employmsnt
at former domicile, removal of family to new domicile, purcfiase of home, etc.) ~
` (Homestead Exemption)
• FILED AND RECORDED`
ST. LUCIE COUNTY, FI.A: ;
f?~ CC?~.VFRIF~~p .
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.,70 JAN I 9 A~I I I: 2 9
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c;OGE? POI~RrS !
CLERK CIRCUIT COURT~ ~
1 FURTHER CERTIFY that I will comply with all other requireme~ts of a lega! resident of this State. ~
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I FURTHER CERTIFY that 1 have no intention to return to my former domivle, anc! 1 intend to remain in FORT ;
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
Sylf~a Barnwell
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~ (Name)
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~ .u1i~' 2964 Treasure Island Rd. '
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~ • ' ' (~ddress)
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~ ; Sworn'ta•a~d-`suburibed before me thi: 19th day of .laAUSry ~ 19 '70.
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~ ROQ6~V~5 ~ s
~ UIT COURT Notary Public ~
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~ By ~ D.C. My Commission expires
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~ (To b~ ~x~cut~d in dupliut~ snd oriqi~ fi~~ qerk.~~h Cou~t, and duptisat~ with Tax Ass~s~ora
~ aooK PncE y4
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