HomeMy WebLinkAbout2541 Decla~ation ot Domicile a~d Cltisenship ;
~
~ ~
TO THE STATE AND COUNTY TAX ASSESSOR,
f
Sl. li1CIE COUNTY, FIORIDA:
This is my declarotion of Domic~le and Citizensfiip in the State of Florida that I am filing this day in actordance and
in conformiry with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal res~de~t of __________y8st~g Conn. _
(C;ty) (State)
and I resided at _~6 Nestwood _Dr. However I have changed my domiti~e
{Street and Numbe~)
ro and am and have been a bona fide ~esident of the State of Florida since _ 15 th _ day of
__duly__--_ ,~9
6.~_, and 1 reside ar 411 Oleander Ave. River_Pk.
(Street and Number)
WRT PIERCE, SAINT LUCIE COUNTY, FLO~iDA
and this statement is to be 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 property or business, or relinquishment of employment
at former domicile, removal o# family ta new domicile, purchase of home, etc.)
(Homestead Exemption)
€
~
~ FILED AND RECOROED A, t
t S;. ~UCiE ~OUNTY. FLA. ~l,/~
~ ;-n~r; i~~ .~~~~~0
E ~ 189~~2
R
~ '70 FEB II AM 9:03
~
~
~ :i~~`:_i-% ~'Ll(TP; 5
~ CL~RK C~r~CU1T COURT
~
~
~ 1 FURTHER CERTIFY that I will comply with all other requirements of a lega) resident of this Stat~. '
~
~ 1 FURTHER CERTIFY that I have no intention to return to my former domicale, and I intend to remai~ in FORT
s~
~ PtERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~
~
~ (Name)g8z'1 Hamann
~
~
~ .:~~f~?~r«,,
411 Oleander Ave. River ~ark
, ~f'{;'
~ _ = ' ~Jr. (Address)
. ~ !
} ~ ~ llth February 70
_ Swom tp ~prj~ subscribed before me this day of , 19 .
~a . y'
.y~ :.y.. `'4 • • .~-1;
~ :!'C:~ .-~R ~ ~It~~ITRAS
,''~r,,:~';i;:,_. ` IRCUIT COURT Notary Public
~ ~
,~>Y
By D.C. My Commission expires _
iY', ~
ati.
~ ~
f~> (To bs executed in duplicate snd ori~ind filed with Cl~ric Cireuit Court, and duplicaN with Tax Asses~or.)
~'s~ BOOK ~S~ PACE25J /
r.o. ~ 3 - ~ -
~ ~7
_ _ ~ :
_ _
. _ ' _ _ r . _