HomeMy WebLinkAbout1061 Declaration ot Domicile and Citfzenship
TO TNE STATE AND COUNTY TAX ASSESSOR. '
Sl. LUCIE COUNTY, FLORI~A: .
This is my detla~ation of Oomicile and Citizenship in the Stata of Florida that 1 am filing this day in accordsnce and
in conformity with Chapter 222, Section 222.17, Flo~ida Statutes.
I was formerly a legal ~esident of - ~~a~ Wis~onsin
(Ciry) (State)
and 1 resided at __.?21 W. Cook St. However 1 hsve changed my domiG~e
(Street and Number)
to and am and have been a ba~a fide resident of the State~of Florida since Jnl~l____ day of
_ , 19
g9 , and 1 reside at 1905 Zepher Avenne
(Street and Number)
FORT PIERCE, SAINT lUC1E COUNTY, FLORIDA
and tfiis statement is to be taken as my decla~ation of citize~ship, actual legal residence and domicile in 1he State of Horida.
(Insert here any pertinent fads, 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 !or homestead exemption
FiLcG I..NG RECORDED
~ ~nU':TY. FL•
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190~`29
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I FURTHER CERTI~Y that I will comply with all other requirements of a legal resident of this State.
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~ I FURTHER CERTIFY that I have ~o intention to return to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ (Name) gobert ld. Condon
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(Address)
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Sworn to and subscribed before me this 5t~~ day of ~r~ , 19 70 .
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: j-~ Ct~RK.~fRCUPf -COUR Notary Public
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- :ByI ; • D.C. My Commission expires
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~(To ii~ ~c~id jn dupliwte snd original filed with Clerk Cirwit Court, snd dupliuh with Tax Assessor.) ~
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