HomeMy WebLinkAbout0738 Deciaration ot Domlcile and Citizenship
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TO THE STATE AND COUNTY TAX ASSESSOR.
Sl. tUCIE COUNTY, FIORIDA:
This is my declaration of Domicite and Citizenship in the State of Florida that I am filing this day in acoordance and
in conformity with Chapte~ 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of -~~}~g~~~ New York _
(City) (State)
Kings Road
and 1 resided at However i~isve changed my domicjle
(Street and Number)
to and am and have been a bona fide ~esident of the State of Florida since _ - day of
- _ s~$t , 19
69 , and I reside at 102 N. Jardain ltoad
. ~ • (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FIORIDA
and this statement is to bc taken as my declaration of citizenship, attual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
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at former domicile, removal of family to new domicile, purchase of home, etc.) ~ ~
giling ior l~omestead exenption
F!lED Aiv~ RECOR6E0
c'. L'J~1~ COUNTY. FLA.
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19C~81
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~ I FURTHER CERTIFY that I will comply with all other requirements of a lega) resident of this State.
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~ I FURTHER CERTIFY that I have no intention b ~eturn to my former do icGle, and 1 intend to remni " [tT
~ PIERCE, SAINT LUCtE COUNTY, FLORIDA, permanently.
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~ (Name) Thoaas R Leahy
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3 (Address)
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? Swom to and suburibed before me this ~d day of ~r~ , 19 70.
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_ ROGER. POf~RAS
} ' _CIEitK C~~4fT COURT Notary Public
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~ By., O.C. My Commission expires
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~ (t'e b~ ~icecutsd in dupliuro snd oriHinsl ~ilsei with G~k Grcuh Cour~, and dupliat~ with Tax Asssssor.)
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~ No. 73
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