HomeMy WebLinkAbout1534 Declaration ot Domicile and Citisenship
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TO THE STATE AND COUNTY TAX ASSESSOR, '
Sl. lUC1E COUNTY, FLORIDA: . '
This is my ~e:!~ration of Domicile and Citizenship in the State of Fforida that I am fili~g this day in acto~dante and !
in conformity with Chapter 222, Section 222.17, Florida Statutes.
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1 was formerly a legal resident of _ w8t@T100 Ohio
(City) (State)
and 1 ~esided at Rfd #1 However 1 have changed my domitile
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since June 1 day of
Ave.
_ , 19~_, and i reside at 2 1 Coral ~orth Beach
(St~eet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORlDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
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(Insert here any pertinent fads, such as sale of property or business, or ~elinquishment of employment
at former domicite, removal of family to new domicile, purchase of hame, ett.) -
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Homestead exemption
FILED APJD RECOROEO ~ ~
S''. LUCIE COUNTY, FLA.
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I ~18890p ~
J1~N 28 AM IQ : I 0 :
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CLFRK CIRCUIT COURT
I FURTHER CERTIFY that 1 will comply with all other requirements of a leya) 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, FLOl21DA, permanently.
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~ (Name) Beulah l~iller
~ - (Address)
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~ ~ ~ 28 January 70
~ Swom to and subscribed before me this day of , 19 .
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~ rto~t~rt.-~i~?s' •
~ CIERK CtRCU1fi~~0URT Notary Public
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~ Sy ~ D.C. My Commission expires
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~ ~''{To ~i" ie~ec~ifsd ie dupliuts and ori~inal filed with Cl~rlc Circuit Cou~f, and duplicah wi~h Tax Ass~sso~.)
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