HomeMy WebLinkAbout0315 Decfaration of Domicile and Citizenship • , ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
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51. LUCIE COUNTY, FLORIDA: ~
This is my declaration of Oomicile 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.
Hiverhead Z. I.
I.was formerly a legal resident of _
(C~ry) (State)
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xiverhead }
and I resided at _ _ However 1 have changed my domicjle ~
(Street and Number) ;
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to and am and have been a bona fide resident of the State of Florida since AuRU8t 15 day of '
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_ , 19 , and I reside at ~~17 [)1 sssinAar Avp,~e ~
(Street and Number)
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FORT PIERCE, SAINT LUCIE COUNTY, RORIDA ~
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and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in the State of Florida. ;
(Insert here any pertinent facis, such as sale of property or business, or relinquishment of employment !
at former domicile, removal of family to new domicile, purchase of home, etc.)
Filing for homestead eaenption
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UN~Y E
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~lo FEB 2 23~ - -
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1 FURTHER ~ERTIFY ihat I will oomply with all other reguirements 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 ( intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~ ~ J ~(Name) e s J YcGuire
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;•'_~nivorn~tQ•ind svbsuibed before me this ~4 day of Feb ,~9~_.
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~ _ :y4 ;.~~l~OURT Notary Public
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~ By.. 3' • D.C. My Commission expires
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~ (To b~ .iiaeut~d in duplicat~ and oriqinal filsd witl~ G~k Ureuit Cowf, snd duplieah wiN~ Tax Ass~ssor.)
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BOOK1~~ PA~E J~.S
3x tJo. 13
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