HomeMy WebLinkAbout1841 Declaration ot Dornicile and Citizenship
TO TH~ STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
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This is my dec~aration of Oomicile and Citizenship in the State of Florida that i am filing this day in acmrda~ce and
in conformiry with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a lega) resident of ________~_TOpB$8 g8Y1888
(City) (State)
2834 Topeka Blvd.
and 1 resided at However I have changed my domiG~e
(St~eet and Number)
to and am and have been a bona fide resident of the State of Florida since 18 th day of
_ ALi~Li3t___ ~9
69 , and ! reside at Rt. 2~ BOX 2680
(Street and Number)
fORT PIERCE, SAINT WCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or refinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
. '
(Homestead Exemptiom)
~
- FILEC ."-NG RECOr~DED
: i L~l~ C^U~.TY. ~La: i
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r, -Gu r;r:~U~T COURT
1 FURTHER CERTIFY ihat I will comply with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domic.ile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ilton D. Dfiacy
(Name) '
Rt. 2, Box 2680 ~
' (Address)
. _
: , i
~ ~ 2nd February 70 ~
Swoit~ ~ and subscribed before me this day of , 19 . [
~
_ . ~
~.s:. RO~i6R POITRAS
ZIRCUIT COURT Notary Public
By~ ' ' D.C. My Commission expires
(To b~ executed in duplicste and original filad wjtb Cleric Gircuit Court, snd dupliub with Tax Assesso~.)
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