HomeMy WebLinkAbout2705 1
Deciaration ot Dor~lcile and Citizenship ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE ~OUNTY, FLORIDA:
This is my decla~ation of Domicile and Citize~ship in the State of Florida that 1 am filing this day in accordance and
in conformiy with Chapte~ 222, Section 222.17, Florida Statutes.
I was formerly a legal ~esident of -__-___ROCkfOTd I11. _
(City) (State)
and 1 resided at __--__2323 Devo11 Ct. However I have changed my domicile
(Street and Number) ~
to and am and have been a bona fide resident of the State of Florida since 22nd day of
-_--___.~a~- , 19
b9, and 1 reside at Rt. 1 BOX 788
(Street a~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA -
and this statement is to be taken as my decla~ation of citizenship, actual legal ~esidence and domicile in the State of Horida. ~
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
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(Homestead Exemption)
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FsL~R AND ~tECORCED ~
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~ I FURTHER CERTIFY that 1 wil) comply with al) other requirements of a legal resident of this State. ~
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~ I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permane~tly. ROrisld JOesteri
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_ ;s~+~,r~:,.i~~ Rt. 1 BOg 788
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~y. ~.••r (Address)
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~ ~'-~~'r Qtn~to .'.iubscribed before me this 13th da of February ~ 19 70
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~ . `'dItCUR COURT Notary Public
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By ~ O.C. My Commission expires
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~ (To b~ executed in dupliuM snd oriyinal fil~d wfth CIKIc Circuit Court, and duplica» with Tax Ass~swr.) i
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- BOOK 18~ PAGE~ 1 O1, I
No. 13 • ~
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