HomeMy WebLinkAbout2246 Declaration at Domfcil• a~d Citizenship I
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TO THE STATE AND COUNTY TAX ASSESSOR, ~
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Sl. IUCIE COUNTY, FIORiDA:
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This is my declarotion of Domic~ia and Citizenship in ths Stats of Florida thst 1 am filin~ this day in accordance and
im m~formity with Chapter 222, Section 222.17, Florida Statutes.
I was forme~ly a legal ~esident of Aew ~erk N_ y~
• (City) (Stat~)
aqd 1 ~esided at _ 25~1-27 Ei1 st Ave T.i tt~l r~ Neek , Fbwevsr I have chan~ed my domiti~e ~
(Street and Number) ~
to end am erti t~~ve been a bona fide r~ident of the Stste of Florida since day of
. 19..~-, and I reside at 2615 Ol e~nde Alvd - s
(Street and Number)
I~ORT PIHtCE, SAINT LUCIE COUNTY, RORIDA -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida. ~
(Insert here any peninent facts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, et~c.) ,
Ho~estead _F~~~ pNp RECOR~~, ~
s?. LUCIE ~ VER~EO
RECORD
191588 ~ 5
- '10 1MR 30 AM
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`d ' GE ITR1?S ~
COUR~
C~RK CIRCVIT
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~ I RJRTHER CERTIFY that I will oomply with all other requirements of a le~al residant of this Stsfe.
I FURTHER CERTIFlI that 1 have no intention to retum to my former domicjle, and I intend to remein in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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(Name)
~ Louis Leseer
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~ ~;,•`,~;~.ru~bsaibed before me this 3~th day of i~ereh 19 70
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~ - = ~T Notary Public
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BY~ 4 S' ~.C. My Commission expires
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~ Rs b~ ~xac~t~d in dupliut~ and ori~ina! Rl~d wilh C1KIc Cirwif Courf, aed dupli~ata vrith Taot A~or.)
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