HomeMy WebLinkAbout0682 Declaratlon ot DomiCile and Citizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FIORI~A:
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This is my declarotiort~of Domicile and Citizenship in the State of Florida that I am filing this day in acoordante and
in conformity with Chapter 222, Section 222.17, Florida Statufes. ~
I was formerly a legal resident of _ ChATle8t021 W.vB. ~
(Ciy) (State) ~
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354? Springfi~id Drive '
and 1 resided at However I have changed my domiCi~e ~
(Street and Number) ~
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to and am and have been a bona fide resident of the State of Florida sinte day of
_ YBrCh _ _ , ~q_6S, and I reside at 2408 Aorth 44th atl"eet
- „r ,1:, (Street and Number)
fORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaratior? of citizenship, actual legal residence and domicile in the State of Horida.
(I~serf 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 resideace and applying for homestead
C~R~E~
F~LE~ Ut~~Y ~~-L~~-
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1 FURTHER CERTIFY that I will comply w~th al) other requirements of a leya) resident of this .State. t
1 FURTHER CERTIFY that I have no intention to return ta my former domiule, and i intend to remain in FOR7
PIERC~~:?S,AINT LUCfE~COUNTY, FLORIDA, permanently. ~
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' , (Name)
: ~ _ ~ David S . King
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Sworn to and subscribed before me this 2~d day of 1~arch ' 19 ~
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- ROGER POITRAS f
K CIRCUIT COURT Notary Public
- By D.C. My Commission expires
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(To b~ oxecutsd in duplicats and ori~insl filsd with Clerk Grcuit Court, snd dupliut~ with Tax Ass~stor.) ~
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~ ,3 gooK1~3 PA~E ~82
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