HomeMy WebLinkAbout0557 Declaratlo~ ot Domicile and Citizenship
TO THE STATE ANO COUNTY TAX ASSESSOR, ~ ~
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Sl. lUC1E GOUNTY, FIORiDA:
This is my dec!aration ort Domicile and Citiz~nship in the State of Flo~ida that I am filing this day in accordance and '
in confo~mity with Chapte~ ~22, Section 222.17, Florida Statutes. ~
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I was formerly a legal resident of M~1Wake@ Wi8 • _ ~
~C~ty~ (State) ~
and 1 resided at ~ 676 A. Astor St. _ licwever I have changed my domiti~e '
(Street and Number) '
to and am and have been a bona fide resident of the~~ of Florida since _ ?th day of
February ,~q 70 , and I ~es~de at 5004 Sunaet Blvd.
~ (Street and Number)
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FORT PIERCE, 'oA1NT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicife in ihe State of Flo~ida.
(Insert here any pertinent fads, such as safe of property or business, or relinquishment of employment
at former domicile, removal of family to new domitile, purchase of home, etc.)
(Homesteed Exemption} '
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F1LED t.ND RECORDED
S;, l.U~l~ COUt~TY, rLA.
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'70 FE8 27 ~~1 IL~ ~ 5y
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LL~RK C'R~'JIT COURT
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~ I FURTHER CERTIFY that 1 wil) comply with al) other requirements of a legal resident of tfiis State.
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1 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, permanently. Stephel7 F. C8TeV6118 j
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~ (Name)
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~ 5004 Sunset Blvd.
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~P~a subscribed before me tfiis 2?th day of February 19 7~ "
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~ • ;'L', ~ C~lR COURT Notary Public
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g , D.C. My Commission expi~es
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' t s ~i inal filed with Cl~rk Cirwit Courf and du iwt~ with Tax Ass~ssor.) ~
(To b~ wcecuted m dupl~u e nd o p . p~
~~5 o R 183 Pa~E 557 `
800K ~
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