HomeMy WebLinkAbout2168 Decla~ation ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, '
Sl. IUCIE COUNTY, FLORIDA: •
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in acoordanca and ,
in conformity with Chapter 222, Section 222.17, Florida Statutes. ~
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I was formerly a ~e9a~ ~es~der,r of - Greenw~ch _ New Jersey
~C;~y~ (State)
and 1 resided at ~ 6 De18wSI'@ AVe. However 1 have changed my domicjle
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since 22nd day of '
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November ,~9
69 , and I reside ar 207 South 30th street
(Street and Number)
FORT PIERCE, SAIN? LUCIE COUNTY, RORIDA
and this statement is to ~ taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of ~roperty or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
Establishing residence and applying for homestead
Ft~.ED h~:~ ~~CORQED
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'j~ FEB S P~~ 2: pl
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OURT
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I FURTHER CE~2TIFY that 1 will oomply with all other requirements of a legal resident of this State. i
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1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT ~
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PIERCE, SAlJ;~~~~*U1CIE COUNTY, FLORIDA, permane~tly. F
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~ . ~ . ~ , (Name) i
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~ ;`~t f;, a'_ Frank Bruc e ~
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~ - , ~ _ ' ` (Address)
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~ , Sworn to and subscribed before me this 5th day of Feb. ~ 19 70
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ROGER POITRAS
~ CIRCUIT COURT Notary Public
.CL%C_ CUoc~~--C~~~
~s gy D.C. My ~ommission expi~es
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~ (To b~ ~xecutsd In duplicsts snd original ~iled with Clerk Circuit Court, and dupliute with Tax Assoswr.) ~
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