HomeMy WebLinkAbout0032 Declaratioc~ of Domicile and Citisenship
TO THE STATE AND ~OUNTY TAX ASSESSOR,
51. tUCIE COUNTY, FLORIDA:
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This is my declaration of Domiule and Citize~ship in the State of Florids that I am filing this day in accordente and
~n confo~mity with Chapter 22~, Section 222.17, Florida Statutes.
1 was farmerly a legal resident of - .~QLfO~_ ---Q~• -
- -
(City) (State)
622 218 t B8y S tt@ e t . However I have changed my domiv~~
and I resided at _9- - _ _ _ . ~ -
(St~eet and Number)
to a~d am and have bten a bona fide resident of the State af florida since ?~nd day of
Januar9- i920---, and I reside at 820 ZaufmaII Ave. -
(Street and Number)
FORT PiERCE, SAINT LUCIE COUNTY, FlOR10A
and this statemgnt is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment _
at former domicile, removal of famity to new domicile, purchase of home, etc.)
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E~tablishin~ residence and applyin~ for homestead
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ROCER ?OtTIlAS ~
CLERII CIRCWT C011RT ~ ~
ItECORO YERIf1E0.~.~. -
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! RJRTHER ~ERTIFY that I will oomply with al) osher ~equiramenis of a leya) resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domic,ife, and I intend to remain in FORT
~IERCE, SAlIV~+LUCt,~__OOUNTY, FIORIDA, permanently.
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~•~~G ....,..~j (Name)
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= v~ Wi liam Edw d Gof
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_ , Nina E Goff
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rf~~~~.~b~;~-subscribed before me this 218t day of December ~ 19 7~
_ .l1S{l~t~~1y
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Roe~e romus -
CLERK CI R COURT Notary Public
°`'`''e"~ D.C. My Commission expi~es
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(To b~ ~x~cvl~d in duplicah and oripinal ~il~d with Cl~rk Grarit Court, and dupliuh with Tax Ass~sso~.) 1
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