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Declaration of Domicite and Citize~ship
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TO THE STATE AND COUNTY YAX ASSESSOR,
. i~C:E CQUt+lTY, FLQitl~A:
This is my dectaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of -_~_SQuth_HBIItptOA , I,o_ n~Island New York _
~ (City) (State)
26 Dellaria Ave.
and I resided at . However I have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Flo~ida since llth _ day of
__~_______.AUgti~t , 19~.~., and I reside at 10? CSmiIIO StI'6@t _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(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.) ~
Establishing residence and arplying for homestead
FILED AND P.ECORDED
S LUCI~ CQU~iTY. F~A.
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18982:
~ FEB I S~~ 9• 2
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; C~ERK ~L't?" COURT
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` I FURTHER CERTIFY that 1 will comply with al) other requirements of a legal resident of this State.
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~ I FURTHER CERTIFY that I have no inte:~tion to retum to my former domitile, and I i~tend to remain in FORT
~ PiERCE, SAIN7 LUCIE COUNIY, FLORIDA, permanzntly.
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i ;RS'~~t~~~i~!t~ ` " '
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, , (Name)
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Alvin Dumas
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. - . Zuiae ~umas
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'~`~:~w~i~f,t~ty~+id:subscribed before me this l~th day of Feb~B~ ~ 19 70
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ROGER PORRAS
~ iC ClRCU! URT - Notary Public
~ By D.~. My Commission expires
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~ (To bs executed in duplicah and original filed whh Cl~rk Greuit Court, snd dupliu» with Ysx Ass~uor.)
n~~82 ~-.E 773 ~
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