HomeMy WebLinkAbout2683 Deciaratio~ of Domictle a~d Citisenship
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~Q THE STATE AND COUNTY TAX ASSESSOR,
Sl. WCIE COUNTY, FIORIDA: _
This is my declaration of Domicile and Citizenship in 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 was formerly a legal resident of ^ Indi ana ~
(City) (State)
Route 2
and I resided at However I have changed my domiCi~e
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since _~atob~ 1_ day of
~12
, 19~8_, and 1 reside at Boa ~ erce la
ree an Number)
FORT PIERCE, SAINT lUC1E COUNTY, FLORIDA '
and this statement'is to be taken as my declaration ot citizenship, actual legal residence and domicile in the State of Flo~ida.
iiisSci i~ia.ii: u'~i~ j~cPiiPi°cCii tis~5~ 3v~~a v'$ S~~a°: ^vt ~:v~^°c. T^v: vL'Pr:.^..°.SS~ i°~!l:.~. L':3~'.f!':.°.RZ !3~ 8!!1~':~Cy~Pl~l1Z
at former domicile, removal of family to new domicile, purchase of home, etc.)
Filing for homeatead exemption
FILED At~D RECORDED~ #
gT, LUC~E COUNTY~FLA. ~
~_.-r~-~ ~;._~~,r:_-`J
189`7~ ~
'10 FEB 12 PM 3: 35
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~j 5.~1 :'.rJ~
i CLErK ~:R~`~'T COURT~
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1 FURTHER CERTIFY that I will comply with al) other requirements of a legal resident of this State.
1 FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
y/ ~ .
(Name) pndrew Bai rd
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4 (Address)
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Sworn to and subscribed before me this 12 day of Feb. ~~q 70.
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~ . ROqFJt ~P4mu?s
~ .~CtRRK~ ~IRCtJ,IT CO T Notary Public
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~ BX - - D.C. My Gommission expires
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~ -{Td bi ~xKUtid in dupliuts and ori~inal filsd with Clerk Urcuit Court, snd duplicat~ with Tax Ass~s~.)
~ , . ; °!~K1~2 P~~679
~S No. 13 v . -
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