HomeMy WebLinkAbout0838 D~cla~ation ot Oornicti• and Gitl=~~ship
TO THE STATE AND COUNTY TAX ASSESSOR, ;
Sl. lUC1E COIfNTY, FtORlDA
Th~s ~s my declaration of Oom~cile and Citis~nsh~p in tFa St~te of Florid~ th~t 1 am fili~q this d~y in scrord~~os and
~n conformity with Chapte~ ?22, Saction ~4~.17, Ffaida Statutes.
1 wss forme?ty s legsl rosident of ___COhBSSet__! Y8s8
(City) (Sta»)
38 Rustic Drive
and 1 ~esided at . - _ - _ - _ - . However I have chan~sd my domitile
(Streef and Number)
to and am and have been a bona fide resident of the State of Florida since _30th___ _ day of
_Nosember 19~0_, and I~e:ide at 1381 San Souci Lane . So. Port St. ~
" ~ (Street and Number)
i~RT MERCE, SAINT LUCIE COUNTY, FLORtDA
and this statement is to be taken as my declaration of citizenship, ectual legal residence and domicile in the State of Fbrida.
(Insert here any peninent facts, such as sale of property or business, or relinquishment of amployment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Establishing residence and applying for homestead
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f1tE0 ANp pEC RrDEO
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RECORD V c~~CWT Cp~pT
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§ I RJRTHER CHtTIFY that I will oomply wifh alf other roquirements of a le~a) res'ident of this State.
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~ I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
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PIERCE, SAINT IUCtE COUNTY, FLORIDA, permanently.
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_ ' : ~ (Name)
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~ Florence S. Pottenger
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~ ° " 4th January 7~
~ Sworn to and subscribed before me this day of , 19 .
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ROGER rO1TRAS
~ CIRCUR COURT Notary Public
~ ~-~-e- G~~c~"J
~ 6y O.C. My Commission expires
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~ Ro b~ u~sc~h~ in dupliuh •nd ori~nal fil~d wiTh C{Mk Circ~if Cowf, and duplicat~ wi11~ Tax As~or.1
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~ ~ 6GRr FAvf 835
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