HomeMy WebLinkAbout0101 Declaration ot Domicile ar~d Citizenship f
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
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This is my declaration of ~omicile and Citizenship in the State of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of _YaTmOUth POY't Mass • ~
(City) - - - - (State) i
f
and 1 resided at _ _ 223 MS~ri _ StTe@t_ _ _ . However 1 have changed my domiCile
(St~eet and Number) -
to and am and have been a bona fide resident of the State of Florida since . 13th day of
- - January - , i92Q_ , and I reside at _--.--__R9~~_~__~~~i3 9~, Fort ~erce -
(Street and Number)
FORT PIERCE, SAINT -LUCIE COUNTY, FLORIDA -
and this statement is to be taken as my declaration of citizenship, actuat legal residence and domicile in the State of Florida.
(Insert he~e any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, remova) of family to new domicile, purchase of home, etc.)
Homestead ExemFtion
f1LE0 AMO RE~R~~ -
iT.111C1E 40U
ROCER P~~T~~ c}~
CORD V[Rlf
IEO ~ U
ICE
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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 fo remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently. ~
r y W. and Kathryn A. Rudelt
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• (Name)
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'~•,3;~ ``•:;f;,~-.
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~ Route 2, Box 3309 A, Fort Pierce, 81a
~ ' •~~'~~'.ri'; , - - (Address)
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,~~,'~~,'~;~KO1~}fQ.and subscribed before me this 3~d day of November ~q1Q._.
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Roa~ rom~?s .
~ CLERK CIRCUIT COURT Notary Public
~ By __~~sd~c.~ ~ i~~~~r~ D.C. My Commission expires
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Ro b~ ~x~cuhd in duplicat~ and oriqlnal fil~d whh CIKIc Cirwit Court, and duplicab with Tax Aswswr.)
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