HomeMy WebLinkAbout0829 ~
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D~cla~atlo~ ot Domicll• a~d Citl:~nship
TO TNE STATE AND ~OUNTY TAX ASSESSOR,
Sl lUC1E COUNTY, FIORIDA:
This ~s my declaration of Domiule and Cit~:e~ship in th~ State of Florida thst 1~m filinq this d~y in ecco?d~nu snd
~n tonformity with Chapte~ 224, Satfion 222.17, Florida Statutes. .
I was forme~ly a legal ~e:~den~ of ~ron _ _ - - Uhi o_-
(City) (Stat~)
and 4 rosided at _ 336 Brunt Rd. _ . However I hsvs chanqed my domiti~e
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(St~eet and Numbe~)
to and am snd have been a bona fide rosidsnt of the Stats of Florida sinte ____29th _ day of
I?QG~~~e1'__- 19?0_, and 1 reside at 111 C88t8II8 Ct.
(Sheet and Number)
FORT ~tERCE, SAINT LUCIE COUNTY, RORiDA
and this stateme~t is to be taken as my declaration of citize~ship, actual layal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employmant ,
at former domicite, removal of family to new domicile, ptirchase of home, ett.) ~
(Homestead Exemption) -
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F~~eo ~~o REC fi
:t ~uc~E couN~t
ROCER POfTItAz
CLERK CIRCt11T QOI~RT
IIECOIiD YERIFIEO ~
~AM ~ ~ 59 ~
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° I FURTHER CERTIFY that 1 will compiy with all other requiremenit of a le~al resident of tfiis State.
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~ I FURTHER CERTIFY that I have no intention to ~Eturn to my former domicjle, and I intend to remain in FORT
j PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. Russell SChLi1tZ -
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(Name)
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? Sworn to and wbsuibed before me this 4th day of J8II118Ty ~ ~9 71
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" ~ " Notary Public
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~ BY . ~ ~ • _ D.C. My Gommission expires
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~ b00K 18~7 MGE 826
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