HomeMy WebLinkAbout2571 AeClaration ot Dort~icile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day i~ actordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I
I was fo~merly a(egal ~es~de~r of ~reen B~r Wisconson
(Ciy) (State)
and 1 resided at 1134 BuY`rieZ'Street Flcwever 1 have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Fforida sinte day of ~
_ -_A,p~il_ ,~q 68 , and I reside at R~ 2 Box 2764-C I,skewood Pk
, (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 Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment t
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence and applying for homestead
FILED AND RECORDED~
ST. LUCIE COUNTY, F~A,
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~l~ 18~82 ~
FEB I I q~ «t : y y
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~ • C~-`RK C:RCtJIT COURT
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~ I FURTHER CERTfFY that 1 will comply with all other requirements of a legal resident of thia State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in FORT
~ PIERCE, ,SAt~j~~~1CIE COUNTY, FLORIDA, permanently.
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Q~ • : (Name)
r ~ G: ~ = Beverley Bardouche Jr ( ~drs JoB. )
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,Swo~~~o and suburibed before me this llth day of ~ebruary ~ 19 ?0 ~
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ROGER POITRAS {
_ LERK CIRCUIT COURT Notary Public ~
B D.C. My Commission expires ~
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~ (To be executed in duplicat~ and original ~iled wkh Clerk Circuit Court, and dupliut~ with Tax Ass~swr.)
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~~Y ~~K~82 P~2567
~ No- 13
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