HomeMy WebLinkAbout1862 Declaration ot Domicile and Citizenship ~
TO 7HE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORI~A:
This is my dectarat~on of Domicile and Citizenship in the State of Florida thst I am filing this day in accordance and
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~n conformiy with Chapte~ 222, Section 222.17, Florida Statutes.
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I was formerly a legal ~esident of Prospect NeW York
~C~ty~ (State)
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and I ~esided at Box 49 . However 1 have changed my domic,ile
(Street and Number)
to and am and have bee~ a bona fide resident of the State of Florida since _ ~ 8t day of
Box 6800 Ft. Pierce Blvd. ~
October 19 69 , a~ ~ reside a~
(Street and Number) `
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizensh~~, actual legal residence and domicile in the State of Horida.
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(Insert here any pe~tinent fads, such as sale of propertj? o~ 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) '
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ST, ~U~~E ~ ~~~~~p~0 ~
~?FCOR~ y~~~FYED~
,T0 19-130 -
~2ppM 3:93
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` CIER ^~F r~ AAS ~
K ~?RCUf~ COU~T.
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~ f FURTHER CERTIFY that I will comply w=lh all other requirements of a(egal'resident of this State. ~
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I FURTHER CERTIFY that I have no intention to return to my former domitile, and 1 intend to remain in FORT q
~ PIERCE, SAINT LUCtE COUNTY, FLORIDA, permanently. He~bert Edwards
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~ ~
~ ~ CR~I.. ~ ~
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~ . (Name) ;
's
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Box 6800 Ft. Pierce Blvd.
~ (Address)
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~ - ~ 20th biarch , 19 70
Swor ~and subscribed before me this _ day of •
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~ g" • Y' D.C. My ~ommission exoires
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b~ ` te~!'in duplicats and original filed with Clerk 'r ui ~ urt, and duplicat~ with Tax Assessor.)
T, N. ~ R 1~3
' PAi;E
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