HomeMy WebLinkAbout2163 DeClaratton ot Dort~icile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA: ~
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This is my declaration of Oomicile and Citizenship i~ the State of Florida that I am filing this day in accordance and '
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in conformity with Chapter 222, Section 222.17, Florida Statutes_ }
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I wa; formerly a legal resident of -___St. ZOL1~8 _ ~O• _ ;
(City) (State) i
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314 Willowick Drive ~
and I residec! at _ _ _ _ _ . _ _ _ _ _ However I have changed my domicjle ;
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(Strcet and Number) s
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to and am and have been a bona fide resident of the State of Florida since ____._-15_th _ _ day of ;
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December___ ~q69 and I reside at _ 134 N. E.Tunison Port St. Lucie ~
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FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA y
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in ihe State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former~domicile, remova) of family to new domicile, purchase of home, etc.)
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Establishing residence and applying for homestead
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F~~ED ~r;L RECOROED
. LL!~CIE ~(?Ut,TY, FLA.
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I FURTHER CERTIFl( that I will comply with all other requirements of a lega) resident of this State.
t FURTHER CERTIFY that I have no intention to return to my former domic,ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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; ` : ~G~'... . ( ame)
~ ' ~ , Ethel J. Cassidy (i[rs Ed. d. )
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_ ?w yr= s
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~ 5th February ?0 ~
_ ~q,m,tA;ar~'I' subscribed before me this day of - , 19 . ;
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~ ROGER POITRAS :
~ C K CIRCUIT CO~RT Notary Public
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~ By _ D.C. My Commission expires `
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~ (To bs executed in dupl~ute and onginsl ~iled wHh Clerk Grcvit Court, and duplicats with Tax Asssssor.) ;
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~ 800K ~L7~ PAGE2159 ;
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