HomeMy WebLinkAbout1924 ~
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Declaration ot Domicile and Citizenship ~
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TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. WCIE COUNTY, FlOR1DA: .
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This is my declaration of Oomicite and Citi2enship in the State of Florida that 1 am filing this day in accordance and ~
in conformity with Chapter 222, Section 222.17, Flo~ida Statutes. i
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1 was formerl a le al resident of _ RahObOth BesCh _ Del. ~
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(C~ty) (State) 1
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and 1 resided at However 1 have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 17th _ day of
June ,~9
69, and I reside at 1103 ffiayflower &oad _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
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 relinquishme~t of emplayment
at former domicife, removal of family to new domicile, purchase of home, etc.)
Establishing residence and applying for homestead
FILEO A~~D RECOROED
ST. LllCIE ^,OU~lTY, FLt._
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1891~~1
- '7J FER 3 ~M ~
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CLERK C~Rrl11T COURT
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1 FURTHER CERTIFY that I wil) comply with all other requirements of a legal resident of this State. ~
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I FURTHER CERTIFY that I have no intention to return to my former domiGle, and f intend to remain in FOR7 ~
PIERCE, SAI(~~ ~UCIE COUNTY, FLORIDA, permanently.
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- ~ : ~ - ' - (Name)
- , _ ~ ~ - ' J~, Dorothea Rac e ( Mrs Frank )
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. _ ~ 'L•r' - (Address) ~
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' Sworn to and subscribeci before me this 3rd day of February ,~q~Q. ~
ROGER POITRAS
LERK CIRCUIT C URT Notary Public
By D.C_ My Commission expires
(To bs-executed in duplicaM and originsl fil~d with Cl~ric Grcuit Court, and dupliub with Tax Ass~ssor.)
BaoK 182 ~~~~9~0 -
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