HomeMy WebLinkAbout2274 Declaratio~ ot Domicile a~d Citizenship
TO THE STATE AN~ COUNTY TAX ASSES,SOR,
5~ . IUCIE COUNTY, fLORIDA
This ~s my declaration of Domicile and Citizensh~p in the State of Florida that I am filing this day in accordance and
:n conformity with Chapte~ 222, Section 222.17, Florida Statutes.
I was formerly a le.3al resident of Clereland Ohio
- - -(City) (State)
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and 1 resided at .~12 0l~6ard Grm/e A~ltnue _
_ _ _ _ _ However I have changed my domiCile
(Street and Number)
+o and am and have been a bona fide resident of the State of Florida since ~~ober _ _ day of
34~
89 !s Gransds - go• ~~~b~ ~ ~erce
- • 19-_ , and I reside at _ - ~ - - _ - -
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, ftORIDA
and this statement is to be taken as my r~eclaration 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 property or business, or relinquishment of emptoyment ~
at former domicile, removal of family to n~w domicile, purchase of home, etc.) ~
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Filing ior hoees~ead eze~ption
FJI~Q ANO RECOROED~
ST. LU.C?z COUf~TY, FLA.
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~ 19~~3•~ -
'70 QCT 20 AM II: 02
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CsQ~3s'~f?, r p,}IR%,S~c.
CLERK CIRCUIT COURT
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~ 1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
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~ I FURTHER CERTIFY that 1 have no intention to return to my former domi~ile, and I intend to remain in FORT
P;ERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ -(Name? ysrie ~a~ Snebli `
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" (Address) ~
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20th Oetiober TO ~
~ 5 ~ ~.~,d s~bscribed before me this day of 19--- . ~
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~ Notary Public
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~ 8~f ' ' D.C. My Commission expires ~
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jTp 6i ~ in duplicate and oripinal fil•d with Cf~rlc G?cuit Court, and dupliul~ with Tax Ass~ssor.)
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~o~i87 ~~~73
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