HomeMy WebLinkAbout1220 Decla~ation _ ot Domicile and Cittzenshlp
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TO THE STATE AND COUNTY TAX ASSESSOR,
ST. LUCIE COUNTY, FLORIOA:
This is my declarotion of Oomicile and Citize~ship in the State of Florida that I am filing this day in aaordance and
in confo~mity with Chapter 222, Section 222.17, Flo~ida Statutes.
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1 was formerly a legal resident of ge~kUk I0~8
(Ciry) (State) ~
and 1 resided at ql6 ExChaII~LeStTeet . However 1 have changed my domiu~e
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since 30th day of
__Yav , 19~, end ~ reside at $t 1 Boz 170 Indrio
(Street and Number)
FORT PIERCE. SAINT lUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of citize~ship, actual legal residenc¢ and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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Bstablishing residence and applying for homestead
FILED ANO RECORDED'
ST. LUCIE CQUhTY. FLA.
~t?.~ORf: !lr nIFiED
188`70'7
'~0 JAN 22 PM 2: y3
I .o~ ~o~T~as
CL~RK CIRCUIT COURT
I FURTHER CERTIFY that I will oomply with all other requirements of a leya) resident of this State.
I FURTHER CERTIFY thst 1 have ~o intention to return to my former domiule, a~d 1 intend to remain in FORT
PIERCE, SA~[xT;~,UC1E COUNTY, FLORIDA, permanently.
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Sworn to a~d subscribed betore me this 22nd day of J~u~~ , 19 70
RQGER POITRAS
i/G~RK CIRCUR OURT Notary Public
By D.C. My Commiuion expires
(To b~ sx~aNed in duplicat~ and ori~ieal filed with CIKIc Circuh Courf, and duplieat~ with Tax Ata~ssor.)
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