HomeMy WebLinkAbout0233 Declaratio~ ot Domicile and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR, ,
Sl. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Flo~ida that 1 am filing this day in aaordance and ~
in conformity with Chapter 222, Section 222.17. Florida Statutes. :
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I was forme~ly a legal resident of RehObOth Del.
«;ty~ (State)
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BOZ 835 ~ D ~ 1. r~~
and 1 resided at _ However I have changed my domiti~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~ 26th _ day of
8. D. ~ 1 Boa 93 ~
_ Feb. , 19
6~, and I reside at 1811 Waters Drive
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal ~esidence and domicile in the State of Hotida.
,
(Insert here any pertinent fads, such as sale of property or business, or relinquishme~t of employment '
at former domicile, removal of family to new domicile, purchase of home, etc.) '
Establishing residence and applying for homestead ~
F1LE0 AND RECORDEO' ~
ST. LUCIE COUNTY. FLA.
f;[_rn~:."~ ~:=R1F~FC i
~.90180
'Ip FE~ 23 Pi~ 2: ZD .
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~ CL~RK ~iRCUIT COURT:
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~ I FURTHER CERTIFY that I will comply with all other requirements of a lega) resident of this State. _
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I FURTHER C~RTIFY that I have no intention to return to my former domicjle, and I intend to remain in fORT
PIERCE, SAtNT,:l11~F~'~QI~NTY, FLORIDA, permanently.
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~ - ; Fred Wagner
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Sworn~to aNt~~subscribed before me ihis Z 3rd day of February 19 70 ~
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i
ROGER POITRAS
~ K CIRCUIT C URT Notary Public
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gy D.C. My ~ommission expires _ ~
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~ (To be executed in dupliuts snd originsl filed with Clerk Grcuit Court, and dupliwb with Tax Ass~or.)
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N~=~ 80QK 18J PAGE 2Jc~ ~
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