HomeMy WebLinkAbout1421 Oeciaratio~ ot bomi~lle and Citizenship ~
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TO THE STATE AND CDUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
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This is my declaration of Domicile and Citizenship in she State of Florida that 1 am filing this day in attordance and
in conformity with Chapter 222. Section 222.17, Flo~ida Statutes.
Fort I,auderdale Florida
I was formerly a legal resident of _ _
(Ciy) (State)
925 Mandrin Ie.
and 1 resided at However ~ nave et~anged my domiCile
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since ~arch_ 1 day of '
_ _ , iq
69 , and I reside a~ 4905 So. Indian River Drive
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citi=enship, adual legal residence and domicile in the State of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment i
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
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Filing for homesteed eaemption .
F~LEO ANO RECOR~EO'
ST, LUC~E COUNTY. FLA•
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:t rp^~
: ur R4c= ~
t. • '
18g
M181 : o q
~70 JA~~ 26
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CLtRK•C1RCUIT COU~
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1 FURTHER ~ERTIFY that 1 will comply with al) other requirements of a leyal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
?~C,~ ~ ~ ~ '
(Name) Wilfrid H Harrison
(Address)
~ Sworn tp ars~ subscribed before me this 26 day of January ~ 19 7~
ROGER~" PORRAS
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~ : ttE6K CIRCU.IT.COURT Notary Public
By D.C. My Commission expires
(To be sxecuted in dupliu~e and original fil~d with Cl~rk Grcuit Court, snd dupliuh with Tax Assessor.)
SOGK~O~ PArE~4~9
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