HomeMy WebLinkAbout2985 De~laratlon ot Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. WCIE COUNTY, FLORIDA.
This is my dedaration of Domicile and CiTizenship in the Stafe of Florida that I am fil~ng this day in accordance and
:n conformity with Chapter 222, Sectio~ 222.17, Florida Statutes. _
I was formerly a legal ~esident of P~~[dIC~~_L _ jdew ~o~'_k___ :
(City) (State)
and I resided at 824 llomestesd Avenue Hawever I have changed my domiu~e :
. (Street a~d Number) .
!o and am a~d have been a bona fide resident of the State of Florida since J3ily 9 " day of
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- • 19-i0 , and 1 reside at - 38? Lo~?s- S~r$s~-~-a~o~t--St-LuCie i
(Street and Number)
FORT PIERCE, SAINT LU~IE COUkTY, FLORIDA
and th~s statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any Rertinent facis, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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Establishing residency !or homeatead ezempLion
~UCIE COUNIY
t10CEa P01?it/?S
1lECORO VEl~ii
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~ I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
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1 FURTHER CERTIFY that 1 have no intention to return to my former domi~ile, and 1 intend to remain in FORT
PIEP,CE, SAINT LUCIE COUNTY, FLORIUA, permanently.
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~ ~ Antho~y J. Galati
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(Address) ~ '
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~ , ~ ^~~~'•.`j1¢~d suburibed before me this -----2nd day of '__~I,n7cEaber . 19~4_.
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Notary Public
~ MNIT• COURT
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~a ~ ~ ~ D.C. My Commission expires -
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(To b~ ~x~cvt~d in dupliuls and oripinal fit~d with Cl~rk Circuit Court, and duplicat~ with T~x Ass~ssor.l
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~ soaK 187 ~~~2984
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