HomeMy WebLinkAbout0945 i
Declaratio~ ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
57. WCIE COUNTY, FIORiUA:
Tl~is is my decla~ation of Oomicile and Citize~ship in the Stats of Florid~ that 1 am fili~q this day in aooo~denas and
in oonfwmity with Chapte~ 224, Section 222.17, Florida Statutes. .
1 was formerly a legal ~esident of T~O.c~.:4t Ya>
>~-L. I. -~T°~° v^~"~ ~
(Cih) (Staro) 2
~
8 ~irch Street '
and I ~esided at ~ . However 1 have chan~ed my domic~le ~
(Street a~d Number)
to and am snd have been a bona fide ~esident of the State of Florida ainoe J~' 2 -~s day of
, 19 b9 , and I reside at ?16 So. ~2th St2'eet
(Street and Number)
fORT PIERCE, S/UN? LUCIE COUNTY, FLORIDA
and this statement is to be taken as my daclaration of cititenship, actval legal residence snd domicile in ths State of Florida.
(Insert here any pe~tinent fads, such as sale of property or busineu, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchass of home, etc.)
Filing for homestead exemption
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1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of thi: State.
1 FURTHER CERTIFY that 1 have no intention to ~eturn to my forme~ domi4le, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ ,
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~ a~„e~ Mary matthewe
~ .
- . (f lddress) .
~ . , . .
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u Swom"to•_a'nd snbsuibed before me this 19th day of January ~~q 70 ,
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~ 'RCCs~R'"PO~~ ,
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,_CLE~;.E~tJlY• COURT Notery Public
~ ~ f; M Commission ex res
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~ (To b~ uacuta! in dupliuh and ori~nal fitsd with q~lc qrwit Gou~f, and dupliut~ with Tax Asassora
~ ~ a~~182 ~ 943
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