HomeMy WebLinkAbout0722 Declaration ot Domicile and Citizenship
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TC~ THE STATE AND COUNTY TAX A'SSESSOR,
Sl. tUC1E COUNTY, FtORt~A: ~
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This is my declaration of Domicile and Citizenship in the State of Flo~ida that 1 am filing this day in aaordance and `
in conformity with Ghapter 222, Section 222.17, Flo~ida Statutes. ;
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I was formerly a legal resident of '1'amp~ Florida _
Kiy) . ~ (State)
and I resided at ~'Bmgs_~_ F1~, However I have changed my domicjle
(Street and Numberj
to and am a~d have been a bona fide resident of the State of Florida since 1~ay day of
19-88 , and I reside at 3120 3nnriae Blvd.
(Sfreet and Number)
FORT PIERCE, SAINT tUCIE COUNTY, FLORIDA
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicite in the State of Horida. i
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(Insert 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.)
Filing tor hoaestead eaemption
FILEO ~N~ RECORDED
~T. ~!;CI~ ~pU~iTY. Fl.A.
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I RIRTHER CERTIFY that 1 wil) comply with al) other requirements of a leyal resident of this State.
1 FURTHER CERTiFY that t have no intention to return to my former domicjle, and t intend to remain in FORT {
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PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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(Name) Bonnie Sve 1~?ers
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- - _ _ _ _ - fA rtaeel
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~ ~ ~ ' , ~ ~ 2nd liarch 70
~ Swofn to and•~ytbscribed before me this day of , 19 .
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~ . ROQ~ER P01~15
~ GtERK GRCtl~ ZOURT Notary Public
~ By D.C. My ~ommission expires
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~ (To b~ ~xecut~d in dupliut~ and oriqinsl filsd with Cl~rk Grcuit Court, snd duplicaN with Tax A~stor.)
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~ N~ , 3 goo~ 1~33 ~ ~72~
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