HomeMy WebLinkAbout2110 Declaratio~ of Dor~ni~ile and Citizenship
TO THE STATE ANO COUNTY TAX ASSESSOR,
51. LUCtE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the State of Flo~ida that 1 am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was fo~me~ly a legal resident of Da> > a~ ~ TpxAs
~~;ty~ (State)
2132 Clarksdale Drive
and 1 ~esided at _ . However 1 have changed my domiG~e
(Street and Number)
to and am and have been a bona fide reside~t of the State of Fbrida since 3].st _ day of '
July _ , t9 ~ and ! reside at 170 Calmosb Drive
(Street and Number)
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FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
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(Insert here any pertinent facts, such as sale of properry or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, ett.)
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~ Establishing resdience and applying for homestead
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' FILED AND ~ RECOROEQI ~
ST. LUCIE COUNTY F '
RECORO VERIF1Ep~A' ~
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r~ocF R ~oirRAs
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i CLERK CIRCUIT COURT;
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1 FURTHER CERTIFY that 1 will comply with all other ~equirements of a tegal ~ resident of this Siate.
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1 FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT !
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PIERC~, ~Y~~4~~IE COUNTY, FLORIDA, permanently. ~
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F Yr~~'`~ - David B. Owen ~
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~ Sworn to and subscribed before me this ~5th day of i~erch ~ ~q 70
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~ R GER POITRAS
~ RK CIRCUIT URT Notary Public
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~ gy D.C. My Comm~ssion expires
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~ (To be executed in duplicate and originsl filed witlt Glerk ~ircuit Court, and duplicat~ wilh Tax Assessor.)
r~~ ° R 183 PA~t2108
BOOK
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