HomeMy WebLinkAbout2549 . ~
O~ala~~tlo~ of Oanlail~ and Citis~shlp .
TO THE STATE ANO COUNTY TAX AS,SESSOR,
Si . IUCIE COUNTY, FIORIDA: ;
ihis is my decluation of Dom~cile and Cit~zenship in the St~~~ of florids that 1 sm fil~~q this dey in scco~d~nce and
~n conformity with Chapte~ 222, Section ?22.17, Florida Statutes.
1 was formerl e 1 al resident of Ch1C _---S~a--_ -
Y e9 . _ R~G. ~ _ .
(City) (Sfste)
2146 S 97th Place .
and t ~esided at _ - . However I have chsnQed my domitile
(Street and Number)
fo and am a~d have been a bona fide resident of the State o# fto?ida since 9th____ day of
Julq 70 403 North 27th etreet ~
- - - - 19---• and 1- reside at - - - - -
• (Street and Number)
FORT r1ERCE, SAINT LUCIE COUNTY, FLQRIOA ~
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Inse~t he~e any. pertinent facts, such as sale of property ot business, or ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) .
$etablishiag residence and willaplly for homestead
F1ZED
ST E ~OVNTYRp~p~
- R~=CORp ~'~RJFlED~•_
~ ~T~ SEP ~ b°•~'~,`~
. ~ 10 ~ S2
, ~~ER "~R P~~R813~
K CIR~V~T ~ouRTr
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1 RIRTHER ~ERTIFY that I will aomply with all other requiremsnb of a Isyal reiident of this State.
1 FURTHER CERTIFY that I have no intention to return to my fo~mer damidle, and I intend to remain in FORT
PIERCE, SAINT L~.tOUNTY, FLORIDA, permanently.
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: ;;~•,•_••';:c,•~ ~ Jean H. Yorrison
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Swom 1~o and subscribed before me this $~t day of Se~ttembe~ , 19~.
. RO~iER rORRAf ~
CiRCWT OURT Notary Public
~ a.~+~l~ CC~ oz~~
8y D.C. My Commi~sion expires
~
(T~ b~ ~x~cvled in d~plic~M anr orioinal fN~d whb Cl~lc Cirarit Co~~t. and duplicaN wilh Tax As~ra
~ ao K 186 ~2542
_ - - . _ ~