HomeMy WebLinkAbout1767 ~
laration of Dort~icile and Citizenshlp ~
Dec
TO 7HE STATE AND COUNTY TAX ASSESSOR.
57. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and ~itizenship in the State of Florida that I am filing this day in aocordance and i
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~n conformity with Chapter 222, Section 222.17, Florida Statutes. ~
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1 was forme~ly a legal resident of Vi Pnna Va
~~;ty~ (State)
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and I res~ded at 2599 ChaiYlb]c'idge RoBd _~Wever I have chan9ed my domiti~e
(Street and Number) ~
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to a~d am and have been a bona fide resident of the State of florida since 1$t day of ;
Se tember ?401 So Ind River Drive =
P_- . 19 6and I reside at , ,
(Street and Number) j
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FORT PIERCE, SAINT WCIf COUNTY, PIORIDA ~ ~
and this statement is to be taken as my declaration of citizenship, actual legal ~esidence and domicile in the State of Horida. ;
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(Insert here any pertinent farts, such as sale of property or business, or relinquishment of employment '
at former domicile, removal of family to new domicile, purchase of home, etc.)
~ Esteblishing residence and applying for homestead
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~ : 19124'7 ;
FILHO AND RECOr~DEO
57. LUCIE COUNTY. FL~.
{`~~r VrR~FlEU
'70 19 PM !2: 34
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; :20C,cR i-01~R:.S
~ CLERK CIRCUIT COURT
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~ I FURTHER CERTIFY that 1 will oomply with all other requirements of a legal resident of this State.
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I FURTHER CERTIFY that I have no intention to retum to my former domitile, and I intend to remain in FORT ;
~ PIERCE, SAINt LUCIE COUNTY, FIORIDA, permanently.
.,~'•'~''tystlliti~/i~~ - _
. '`?2~, ; . ~ ~ ~ t., - (Name)
. r~;+ .~e!
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~ ~':.~fi,~? ~~r_.~ t~~ ' ~ hn A Griggs
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. • ~~:{~s:,~,~,~~~~`_~ (Address)
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' ' 0
~ ; , March ?
~ ' ~to and subscribed before me this l9th day of . 19 •
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ROGER POITRAS ~
RK CtRCUIT COURT Notary Public
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~ g ~~~``LL~ D.G. My ~ommission expires
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~ (To be executed in du I~cate and ori inal filed with Cleirlc G~wit Court, and duplicat~ with Tsx Assessor.)
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° R 183 1766 '
d00K PACt
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