HomeMy WebLinkAbout0846 Declaration ot Do~nicile and Citizen~hip ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE ~OUNTY, FLORIDA:
This is my declaration of Oomicile ar.~ Citizanship in the State of Florida that 1 am filing this day in actordante and
in conformity with Chapter 22Z, Section 222.17, Florida Statutes.
I was formerly a Iega1'res~dent of LoChgelly West V1Y`giAia
(Ciy) (State)
and I ~es~ded ar _ General D@1. ~Wever 1 have changed my domiG~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since - _ ~ 6th day of t
_ Au~u8t___ , ~9
69 , and I reside at 2744 S. 10th St.
(Street and Number)
FORT PIEltCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual tegal residence and domicile in the State of Horida. '
(Insert here any pertinent facts, 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.) ~
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(Homestead Exemption) ~ ~
FILED AND RECORDED
ST. LUCIE COUNTY. FLA.
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4 1905~~
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I FURTHER CERTIFY that 1 will comply with all other requirements of a legal ~esident of this State.
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~ --t ft1RfiH~R~ERTtFrihrarl-kav~-rsa-tntentiorsta r~tarrs~~a former-dom' 'le- and-l-iniend-to remain in FORT
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PIERCE, SAINT LUCIE COUNTY, fLORIDA, permanently. Millttie Prevette ~MI'8. Wint ~
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~ ' (Name)
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~ 2704 S. 10th St.
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= Sworn to and subscribed before me this 3rd day of March ~ 19 7~
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';OURT Notary Public ~
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~ By ' .C. My Commission expires "
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~~(To~•tlic(~ted~in dupliut~ and ori~insl filed with Cl~rk G~cuit Court, and duplicat~ with Tax Ass~ssor.)
' ~ ~ 600K 183 PACE 04V
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