HomeMy WebLinkAbout1512 j~ Declaratio~ ot Domicile and Citlzenship -
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORI~A:
This is my declaration of Oomicile and Citize~ship in the State of Florida that 1 am filing this day in acoordance and
in conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
1 was formerty a legal resident of -_-Ar~1IIQ~4~. _ _ V6TmOIIt _
- (City) (State)
Wash. County State Line Farm
and I resided at However I have changed my domiCile
(5treet and Number)
to and am and have been a bo~a fide resident of the State of Florida since ~arCh day of
_ _ , t9
6~, and 1 reside ar 7001 So. Indian River Drive _
(Street and Number)
fORT PIERCE, SAINT LUCIE COUNTY, HORIDA
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and this statement is to be taken as my declaration of citizenship, actual legal ~esidence and domicile in the State of Florida. '
(Insert here any pertinent fads, such as sale of property or business, or relinquishme~t of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
Homestead ezemption
FILED AND RECOROED ~
. ST. LUCIE COU~TF,~p~A.
nF:C(`~D
- 1$888~ ~ ~
'70 JA~~ 27 PM 4~ : I~
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4 ~~~R{( CIRCUIT COURT
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# I FURTHER CERTIFY that I 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 1 intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ ~ ~ -l~~t ~C 2'
~ (Name) Oliver G IAhite
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~ (Address)
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= Swor~ t0 a~,subscribed before me this ~7 day of J~u~~ , 19 70
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- ~ , ROGER PORRAS
~ CLERK CIRCVIT COURT Notary Public
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: By . D.C. My ~ommission expires
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(fi~,j~p ~xecuted in duplicats and original filed with Cle?k Grwit Court, and dupliut~ with Tax Ass~stor.)
~ ,3 g~oK182 ~nct~.51U
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