HomeMy WebLinkAbout0845 Decfaration ot Domlcile a~d Cttizenship
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TO THE STATE AND COUNTY TAX ASSESSOR,
Si. WCIE COUNTY~ FIORIDA:
This is my declaration of Domicile and Citizenship in the State of Flo~ida that I am filing this day in accordance and
in conformity with Chapter 222, Seetion 222.17, Florida Statutes.
1 was formerly a legal resident of _ Ft . I+tnderdale ~'Zfl . _
tCity) (State)
and t ~esided at 300~ SE 9tZ1 St. ~Wever I have changed my domiGi~e
(Street and Number) .
to and am and have been a bona fide resident of the State of Florida since _ ~ 9th day of
_ December ,~9
68 , and t~eside at Rt . 1, Boa 921
(Street a~d Number) t
FORT PIERCE, SAIN? LUCIE COUNTY, RORIDA
and this statement is to be taken as my declarotion of citizenship, actual lega) residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of emp~oyment
at former domicile, removal of family to new domicile, purchase of home, ett.)
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(Homestead Eaemption)
FlLED AN~` RECORDED'
~T. IUCIE COU~,tTY. FLA.
~.-(~^r' ~1 !C~E'Q
~ 1905~2
'70 M~R 3 AM 10 : 5 0
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' CL~RK Cln~(,~~T COURT; `
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~ I FURTHER CERTIFY that I wilf oomply with all other requiremenis of a legal resident of this State.
~ I FURTHER CERTIFY that I have no intention to return to m foimer domi 'le an7-1 inten to-remain in
y G ,
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. HBTOld d. ZeMiewc
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~ (Name)
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~ Rt. 1. Box 92~
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Swom to and subscribed before me this 3rd day of Mareh ~ 19 70
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~ . •C~~ , f-COUR Notary Public
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~ 8y ' D.C. My Commission expires
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~ fTa ,lii- ~xeeut~d in duplicst~ and originsl Alsd with G~rk Circuit Cou~t, and duplicat~ with Tax Ass~s~o?.)
_ - ~ R 183 PACE 845 ~
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