HomeMy WebLinkAbout1488 r
Declaratio~ pt Oomicile and Citizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. lUC1E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that 1 am filing this day in acco~da~te and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was fo~merly a legal resident of Berwyn _ Illinoi~
(Ciy) (State)
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and 1 resided at 1808 SO. W19COII8iII AV@. _ _~,Never 1 have changed my domiule
(Streef and Number) ' i
i
November 16 -j
to and am and hav~ been a bona fide resident of the State of Florida since day of :
~
,~9?~, and i resida at ~oWard Creek ?~ane Beau 8lvage
StuaTt ~ F101'1da (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORI~A
and this statement is to be take~ as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
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(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment ~
. ,
~ at former domicile, removal of family to new domicile, purchase of home, etc.)
Intent of filing f or homestead egemption ~
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ROCER ?01T ~ .
OLERK CIRC{IIt pQ~ -
. RtQORO vta~iiEO ~
~ Nor ~~I Z 36 !~M "l
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I RIRTHER CE~tTIFY that 1 will oomply with al) other roquirements of s legal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domic.ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
. }'Y 4..,,... ~ ~
(Name) 'JPillism 1~'. Ture][
(Address)
orn to and subxribed before me this 24 day of ~0o@mb@r ~ 19 70
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'J~='°'~ ~~p1,1itT Notary Public
6~' t'.; D.C. My Commission expires
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(T° `I~'i..., ~al~d jn duplicat~ and oripinal Rl~d with ~ Circuit Court, and dvplicah wiN~ Tax Ass~or.)
~1485 -
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