HomeMy WebLinkAbout2275 Declaratio~ ot Domicil~ and Citlzenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FIORIDA
This is rny declaration of Domicite and Citizenship in the State of Florida that 1 am filing this rlay in accorciance and
~n confarmity with Chapter 222, Section 2??.17, Florida Statutes.
i was formerly a legal resident of I~Br~OTII Y~Ch~g8a_ ~
(Ciy) (State) ~
T81~ Stead~sn
and I resided at _ _ _ However I have changed my domi~ile
' (Street and Number)
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to and am and have been a bona fide resident of the State of Florida since Qetaber ~ _ day of ;
_ , 19_ TO , and I reside at _ 1T.$1~ _ AYAlon_~i?~tiQe .
(Street and Number)
FORT PIERtE, 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.
(Insert here any pertinent facti, such as sale of property or business, or relir.quishment of employment
at former domicile, removal of family te new domicile, purchase of home, etc.)
Filing for hoa~estead ez~ption -
FILEO AND RECOROED~~
ST. LUClE COUNTY. FI.A.`'
nc-~flR^ EK1FtED '
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'10 OCT 20 AMI I I: 04 S`~
E~o~~? =~iTR~s ~
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CLERK CIRCI:!T COURT~ ~
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~ 1 FURTHER CERTIFY that I will mmply with all other requirerrteris-of a iegal resident of ihis State.
, I FURTHER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
~ F~ERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ Swom to a~d subscribed before me this day of OGtobeT i9_TO
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_ D.C. My Commission expires
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~ •'Ri duptiute and ori~i~al filed ~ritl~ CIKk Grcuit Court, and dupliuM with Tax Ass~ssor.)
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