HomeMy WebLinkAbout1622 Declaratto~ o! tfomicile a~d Citlze~ship
TO THE STATE AND COUNTY TAX ASSESSOR,
' 1
5'f , LUGIE COUNYY, FLORIDA;
This is my dacieratior~ of Danicile and ~tizanship in th~ Stat~ of Horida that 1 am filin~ thit day in ~ooo~da~q a~d
~
in conformity with Chapttr 222. Section ~2Z.i7, Florida Statut~s.
~ wa: former~y a ~eqat re:'~dent of Arlinaton I~ei~hts ~ ~ Illinoie
(C+tY) ~.r2.:; , _
and 1 rosided at 314 No. ?-inaoln I,ene ~,~,~~„r 1 hawchuped my dankik
(Street and Numb~t~?
ro and am and hav~e been a bo+~b f+de resident ot th~ Staro of. ~torida sinoe dulle . ~y
, iQ 69 , and 1 reside at 120 BaAy9Y1 D1•1v6 -
(Strest snd Numb~r)
FORT PIERCE, SAINT LUCIE COUNTY. RORtDA
and this stateme~t is to bs taken as my dedaration of citizensh+p, actual lsya! ~esiderxe and domicik In th~ State of Horida.
pnsan hers a»y pertinent fads, wch as ~le of prop~q or bu~insss, or nlinquishme~t of ~mploym~nt
at former dor»ki~ts, nsrrwval of family ta n~w domkiie, purchas~ of hwns, etcJ
~ Filf.ng tor homeeteed ezemption ~ _
. - ~ - T. . _ . .
. _ . _ _
~ ~PtL~~ aND .
~ RECORp~pt ` .
ST, ltlClE COUkTY.
R~ce~~ y Ft.A:~ .
ERIFlED
~ 'TO ~ 19~.1~8
. ~ ~ ~ PM !2 t 09
~ ~1+a~
~Q~~~ r0?TR~~`
CL£RK ClRCUIF COURT~ ~
.
1 FURTHER CERTIFY that f wlll -
oompty~ w~ti~-~it-otE~-r.qut~~f ~ 1.
a~l
~_nasdenr of rt~4 sta».
i FURTHER CERTIFlf that ! have no intentior? to return to my forrner cbmicjl~, snd i intend to remain In FUR7
PiERCE. SAtIVT LUClE COUNTY, FLORI~A, permsne~tly. .
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. ' _7 l~arch 19 70
f.~ ~ Sworrt'icf,aad}sub ~ e; ~s day of ,
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° t1,ERK CIRCUtY C ,yU~. Notary i~ubik
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BY ' ' • Mr Comrnission wtpir~s
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Qo b~ ~x.wr.a ia ~rpfi~st~. a~d~~or~l ffl.a w~ aak u.~t co~N?, sna dupua~. tax Ass.~.o.a
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