HomeMy WebLinkAbout0673 3
Declaratian ot Domicile and Citizenship
~
?
TO THE STATE ANO COUNTY TAX ASSESSOR, ~
s
Sl. LUCIE COUNTY, FIORIDA:
s~~s22 ;
~
t
This is my decla~ahon of Oomicile and Citizenship in the State of Florida that I am fil~ng this day in accordance and ~
~
~n conformity with Chapter ?22, Section 222.17, Flo~id~ Statutes. ~
i
Illinois ~
I was formerly a legal resideM of . 08k J.+ELWII _
~C~ty~ (State) ~
;
~nd I resided at 8330 _ S. bl8ri3field However I have changed my domic,ile ~
(Street and Number) `
to and am and have been a bona fide resident of the State of Florida since JUly 27 _ day of
202 SW Selva Court
- , 19~0 , and I reside at _ _ _ - . - .
Por t S t I.UC 1@ (Street and Number)
FORT PIERCE, SAINT lUC1E COUNTY, fLORIDA
and this statement is to be taken as my declaration of citizenship, actual leg~l residence and domicile in the State of Flo~ida.
(Insert here anv pertinent facts, such as sale of property or business, or relinqvishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residency for homestea3 exeuption
F~~EO ANO RECORDEQ~
ST. LUCtE COUNTY, F '
j+F.CRRn VFRl~i~dLA. ;
~
'l0 SEP 23 ~~8~22
~'I II: 14
i ~
~ F~OGE~ i'OIT ~~~~~cr
~ ~~~RK ciRCUiT couRT: J
z
~
r
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
- - - - - _ _
I FURTHER CERTIFY that I have no intention to return to my former domic,ile, and I intend to r~main in FORT ~
P~ERCE, ~AINT LUCIE COUNTY, FLORIDA, permanently. ~
~ ` t ~
' w
~ (Name) Irene Waitkus
~ y
~
~ - (Address) - f
~
~
Swom tb and subscribed before me this day of S~tembeT ~q 7C
~ .~y;;' ul/1~ ~
~~~i. -
LU~T~
~
, ,
~
' i G: COURT Notary Public
. o._.,.~..
` ~ ~
y I.: ,
_ D.C. My Commissio~ expires _
eY
• ~ • , ~ w s~ ' •s.
~ " ~ in duplicaf~ and oripinal filsd with Cl~rk Circuit Cou?t, and dupliut~ with Tax Ass~sw?.)
, . M
~ , ~ ~o~x ~87 fi 13
_ .i.:
_ _ s~