HomeMy WebLinkAbout0694 Declaration ot Dorhicile a~d Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. IUCiE COUNTY, FLORIDA: ~
This is my declaration of Domicile and Citi=enship in the State of Florida that 1 am filing this day in accordance and
~n confo~miry with Chapter 222, Section 222.17, Florida Statutes.
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1 was formerly a legal resident of x~~ Qenna g -
(City) (State)
and 1 resided at 2~?___CedAr L81~@ ~Wever 1 have changcd my domiti~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ _ 5th day of
M92'Ch ~9
69 , and I reside at 715 AZa119 Av@.
(Street and Number)
FORT PIERCE, SAINT LUCtE COUNTY, RORIDA .
and this statement is to be taken as my declaration of citizenship, adual legal residence and domicile in the State of Florida.
_(lnsert here any pertinent fatts, such as sale of property or business, o~ relinquishment_of_employment _
at former domicile, removal of family to new domicile, purchase of home, etc.)
- (Homestead Eaemption)
FILED APJD RECORDED
Si. LUCIE COUNTY. FIA.
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! '70 h1~iR 2 QM I Q: 5
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s CLERK CI~CIJtT COURT!
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4 I FURTHER CERTIFY that I will comply with all other requirements of a leyal resident of this State.
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1 FURTHER CERTIFY that I have no intention to return to my former domicjle, and I interd to remain in FORT ~
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~ PlERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~TO n F. D I
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~ (Name)
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5wQ'iq,~'aad~_~bscribed before me this 2nd day of MATCh ~q 70 ,
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~ COURT Notary Public ~
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By D.C. My Commission expires
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~ (To b~ execut~d in dupliut~ snd ori9inal ~il~d with Clork CircuM Gourt, and dupliut~ witb Tax Ass~s~or.)
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