HomeMy WebLinkAbout2039 Declaration ot Domicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FlOR10A: •
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This is my declaration of Domicile and Citizenship in the State of Florida that I am tiling tiiis day in accordance and ,
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ____S8%t021 _ _ ~
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(City) (State) ~
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and I resided at ~BtheWS Street ~
However 1 have changed my domi~ile i
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since day of
__June ^ 19 6? and I reside at 61? Beach Ave. '
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(Street and Number) '
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FORT PIERCE, SAIN? WCIE COUNTY, FLORIDA ~
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and this statement is to_ be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. i
(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.)
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Establishing residence and applying for homestead
FILED AND RECORDED
ST. LUCIE C~UtJTY, FLA. ~
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1892~~9
'70 FEB y Q~1 ~
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CL~RY. Ct~'~~UIT rOURT
1 FURTHER CERTIFY that I will comply with al) other requirements of a legal resident of this State.
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1 FUR~HER CERTIFY that I have no intention to return to my former domiCile, and I intend to remain in FORT
PIERCEtt~~11N~,~1C1E~COUNTY, FLORIDA, permanently. _
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`T ; - t• ; C•~ •.'i~ ,
_ - ~ ° / a ' _ (Name) ~ i
_ - - ~r ti _ Deidra Rappa (Mrs Richard ) ?
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Sworn to and subscribed before me this 4th day of _ February ' 19 70 #
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ROGER POITRAS
LERK CIRCUIT URT Notary Public
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By _ D.C. My Commission expires
(To be executed in duplicste snd original filed with Clerk Circuit Court, snd dupliwts with Tax Assessor.)
BOOK 1~~ PAGf ~UeiS
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