HomeMy WebLinkAbout0317 Decla~atio~ ot Domicile and Citizensi~~p
,
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IU~IE COUNTY, FIORIDA: ~
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This is my declarotion of Domicile and Citizenship in the State of Florida that I am filing this day in aotorda~oe and ~
~
in rnnformity with Chapter 222, Section 222.17, Florida Stetutes. ~
Pikeville Kentucky ~
I was formerly a legal resident of -
(City) (StaM)
and I ~esided at Rt.C4 BO][ 88 ~Wever I have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~ Oth day of
_ November ,~q 69 , and I reside at ~ 814 Ave . C
(Street and Number)
FaRT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statemenf is to be taken as my declarotion of citizanship, ectual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of amployment ~
at former domicile, removal of family to new domicile, purchase of horr~, etc.)
(Homestead Eaemption)
;
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1
FILEQ AND RECORDED
` ST. LU~IE ::~U~dTY. FLA.
^r. ~ ,t~~,~~CU
- 19023'7
F~Q 24 PM I :30 .
~ _ - ,
~ ~?'Tn :S
I ~~EhK C'rCU'T COURT
I FURTHER CERTIFY that 1 will oomply with all other requiremenri of a leyal resident of this Stste.
I FURTIiER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in FORT
PIERCE, SAINT LUCfE COUN~Y, ELQRIDA,_p,ecmansatlr.. ~'l ~
~ Qht~cyGC
(N e)
1814 Ave. C
~
~ . (Address)
x ,:s+:.,~,•;r:
~ . : t: ; . ~,fii,'
~ ~:,~~-~~vi/oVr.~nd suburibed before me this 24th day of February ~ 1970
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~ - ; ~ R COURT Notary Public
~ 'tit~•+'~.
~ ~ ~ D.C. My Commission expires
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~ (To b~ ~xecut~d in dupliut~ snd ori~ina! Rl~d whh CINIc G~cuh Court, snd dupliut~ with Tax Ass~ssor.)
aooK 10~ PACE 31"7
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