HomeMy WebLinkAbout2026 Declaration ot Domicile a~d Citisensh~p '
TO TNE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA: i
This is my declaration of Domicile and Citizenship in ihe State of Florida that I am filing this day in accordance and
in conformity with Chapte~ 222, Section 222.17, Florida Statutes.
~,ouisville Kentucky
I was formerly a legal resident of _ _ -
(City) (State)
1044 Alta vista noad
and t resided at _ However I have changed my domic.ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida sir~ca ____~Ep~._~- day of
- - - - - 19-E1~, and I reside at -.1QQ~- H1S-=8I18
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, adual 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.) ~
Filing for nomestead' exemption
~
Ft! EO Az~O RE~OROED
~.UCtE COU'STv, FIA.
rn' . `.~'•G!?
1s:3231~6
s10 FEB 4 ~I IQ • ~
I .
tTp ~OURT
c~ca~,~ti~t~~UiT C
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 domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, pe~manently.
/
(Name) J ith ZaChaY'ds
~ 8. WID•~
(Address)
`;sw~r.n.roland suburibed before me this 4t~ day of ~eb~arY ~~~~~19~_.
:
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. , ~~ROO~E~t•:Pd1TRA5 ~
, ~ . CLE~tK.7CIRC3lIT COURT Notary Public ~
. c . ~
~y " ~ ` ' D.C. My Commission expires
.•4~;
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(To be executed in duplicate and original ~iled with Clerk Circuit Court, and dupliwfe with Tax Assessor.)
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