HomeMy WebLinkAbout1427 Oeclaration ot Domicile and Cittzenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA: ~
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This is my declaration of Domicile and Citizenship in the State of Flo~ida that 1 am filing this day in accordance and
in conformity with Chapte~ 222, Section 222.17, Florida Statutes.
1 was formerly a legal ~esident of - Al1eD RY _
(City) (State)
Allen, Ry.
and I resided at However I have changed my domicjle
(St~eet and Number)
to and am and have been a bona fide resident of the State of Florida since June ~ 9 day ot
, 196~ , and 1 reside at ~ 6'~ 7 Mayfloper Roed
(Street and Number)
fORT PIERCE, SAINT LUCIE COUNTY, FLORIDA ~
and this stateme~t is to be taken as my declaration of citizenship, actual 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
at former domicile, removal of family to new domicile, purchase of home, etc.)
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Filing for homestead egemption
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~~LED ANp RECORDED ,
ST• ~Ur~E C ,
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1 FURTHER CERTIFY that 1 will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORlDA, permanently.
(Name) ]I~ EveZ'ett Burke
(Address)
Swgrn. to and st~bsuibed before me this 26 day of Januery ~ 19 ?0
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ROGER POITRAS . . j
= ~ CLERK CIRCUIT ~OyRT Notary Public ~
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By D.C. My Commission expi~es ~
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(To bo bxecutee~ in duplicat~ snd original filsd with q~Ac Grcuit Court, and dupiicst~ with Tax Ass~stor.)
BUar~~z P~~~425
tlo. 13
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