HomeMy WebLinkAbout1266 . ,
Declaratio~ ot Domicile and Citizenship . _
TO 1HE STATE AND COUNTY TAX ASSESSOR,
Sl. LUClE COUNTY, FLORIDA:
This is my deciaration of Domic+le and Citizenship in the State of Flarida that 1 am filing this day in aao~dance and
~n conformity with Chapter 222, Section 222.17. Florida Statutes. ,
i was fo~merly a legal resident of ~~ollywoOd Florida :
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(Ciy) (State) ;
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and I resided at _ '~720 Ps~l Re~d . However ~ have changed my c~omitile
(Street and Numbe~)
ro and am and have been a bona fide ~esident of the State of Florids s+nce ?th day of
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_ _ August , ~q~9 , and I reside at 1906 wyoming Ave.
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(Street and Number)
FOR7 PlERCE, SAINT LUCIE CCUNTY, RORIDA ~
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and this statement is to be taken as my declaration of citizenship, actual legal ~esidence and domicile in the State of Ho~ida. ~
(tnsert here any pertinent facts, such as sale of property or business, or relinquishment of employment ~
at fo~mer domicile, removal of family to new domiciie, purchase of home, etc.) +
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' Establishing residence and applying for homestead
F~~EO a~iQ RECO~DED
: LUC~~ ~~~.*r~ F~,
=n1~.~ _ •
_ '~C
r'^.~ s a~i i ,19oss9 ,
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. _rl~'rr,.
~'^'h Cit~Cltii iC0UR7
;
,
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I FURTHER CERTIFY that 1 will comply with all other requirements of a leyal'resident of this State.
1 FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to remain in FORT -
PIERCE, SAINT IUCIE COUNTY, FL4RIDA, permanentty. ~ ~
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~ ' . . ~ _ ' •~i ~
~ " f (Name) '
' R and J R n
. ~ Q~v,.~/ ~-~J . ,.,,,_,~_.Y,i,r,/ s''
. . . .
Sworn to and subscribed before me this 9th day of March 19 ?0 .
.
ROGER POITRAS -
K CIRCUIT COURT Notary Public ~
gy °`'~`'e` "`~~L~~ D.C. My Commission expires
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(To be executed in dupticats snd orisinal fited with Cle~ic Grc~it Court, and dupliute with Tax Assessor.) ;
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goo~ 1~3 ~A~E 1265 '
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