HomeMy WebLinkAbout2102 ~
Decla~ation of DomiCile and Citirenship t
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE ~OUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in tha State of Florida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of Corbil'1 _ gentu~k~__
(C~ry) tState)
206 5th street
and I resided at However I have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of flotida since lst _ day of
IY~av , 19~5~.., a~d 1 reside at 1803 South 26th Street _
(St~eet and Numbe?)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this stateme~t is to be taken as my declaration of citizenship, adual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of p~operty or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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Establishing residence~and applying for homestead
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~ILED AN~ ZY. FLA..
ST•~F~~Rp VERfF1E0
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i ~10 Mp,R 25 ~ 1~ .
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~ ROGER ro
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I FURTHER CERTIFY that 1 will comply with all other ~equirementa of a lega) resident of this State. ~
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I FURTHER-CERTIFY ihat I have no intention to return to my former domiCile, and I intend to remain in FORT ~
PIERCE, 5~4~~,tk~~~CQUNTY, FLORIDA, permanently. ~
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~ ~1 A- :Jr- Name) ~
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~ ~'.S: _ George R. Casey
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~ Sworn to and subscribed before me this 25th day of MBTCh , ~q~Q. ~
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~ ROGER POITRAS
K CIRCUI ~COURT Notary Public
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~ By D.C. My Commission expires
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-Y (To bs axecuted in duplicate and originsl filad with Clerk Grcuit Courf, and duplicab with Tsx Ass~ssor.)
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