HomeMy WebLinkAbout1876 Declaration ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filiny this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a lega! resident of ___._.____~~0~`getOWri COIIYl. _
(City) (State)
and I resided at _ Blll@bePt'y H111 _ _ ~,,,~ever I have changed my domicjle
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ 30 th day of
December _ ~q 69, and 1 reside ar 2816 Fairway Dr.
(Street and Number) ~
fORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to oe taken as my declaration of citize~ship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
(Homestead ~xemption)
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I FURTHER CERTIFY that I will comply with al) other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domiule, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
%~X Xavier Sickinger
. • ,
(Name)
2816 T rway Dr.
, ; _ ~ _ (Address)
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Sworn ~o..~nd subscribed before me this 2nd da of February 19 ?0
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UR COURT Notary Public
By ~ D.C. My Commission expires
(To be executed in duplicate and ori~inal filed with Clerk Grcuit Courf, and duplicat~ with Tsx Ass~ssor.)
~ooK 1~2 PAi,E 1~' l2
~ No. 13
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