HomeMy WebLinkAbout1215 Decla~ation ot Oom~c!!e and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORlDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in aooordance and
in conformity with Chapter 222, Seclion 222.17, Florida Statutes.
I was formerly a legal resident of -~~Y'8 F811B Hew Ynrk
(Ciy) (Staro)
a~d I resided at _ 2461 CLtd8b8Ck Aoe • .~wever I have chsnged my domiCjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since December day of
, 19
6~, and 1 reside at 503 80. l9th StTeet
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, ot relinquishme~t of cmployment
at former domicile, remova) of family to new domicile, purchase of home, etc.)
Filing ~ for homestead eaemption
- FtLED AND RECORDEp
ST. LUCIE COUNTY. ~LA.
:~F:CORD'.'~RtFs~~
188`7~2
'TO JAN 22 PM 12 : 5 0
^~n~~~~~
Ov-P, r01 ~ RAS
~ ~ CLERK CIRCUiT COURT
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I FURTHER CERTIFY that 1 will aomply with all othar requirements of a leya) resident of thls State.
I
I FURTHER CERTIFY fhat I have no intention to retum to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
(Name) Art ur Singleton
~ (Address)
:.Sworn.to;~ subxribed before me this 22 day of 'TBIIUet~y 19 ?0,
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: : 'jA:
. ROGER POI~?S .
~ ~ .'-tLERKCIRCUtT=COURT Nota Public
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BY'•~. D.C. My Commission expires
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'tr:~~;.~t~i~ _ .
(To b~ execuhd in dupliwt~ and ori~inal Rl~d with qerk GrwH Cour1, snd duplicat~ with Tax Ats~ssor.)
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