HomeMy WebLinkAbout0904 ~
O~cluatio~ of Oomlcil~ antl Citis~nship
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TO THE STATE AND GOUNTY TAX I?SSESSOR,
Sl. UJC1E COUNTY. RORIDA:
Thi: is my dacla~atio~ of Oomicile snd Citiunship in the Staro of Flaid~ that 1•m fili~p this d~y in ~ooordano~ and
in conformity with Chapter 222. Saction 22Z.17, Florida Statuhs.
1 was formerly a ~a9a~ resident of North Homestead Ohio .
(~itY) (Sta»)
and 1 resided at _ 4208 COluIDbia ROad Howsver 1 have charpsd my domidle
(Sheet and Number)
ro and am and have been a bona fide resident of the State of florida sinos 29t~ day of
_ ~tober ,~q3~, and i res~de a~ 150 810 liar Drive ~
(Street and Number)
fORT MERCE, SAINT WCIE COUNTY, RORiDA ~
and this statement is to be taken as my dedaration of citizsnship, achial ie9a1 residence and domidle in ths Staro of Florida.
(Insert here any perti~ent 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.) ~
Applying for homestead and eetablishing re$idence
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.ANQ RECOAQ~~ .
iT. ~ER
PO
TRRS u~
CLERR CIRCUIT COtlRT
RECOItO VERIFIEO~..~.
J~ui 5 I o2 PM'TI ~
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` 1 FURTHER CERTIFY thst 1 will oomply with all other requiroments of a Ispsl rosidant of this State.
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~ 1 Ft1RTHER CERTIFY that 1 have rio intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
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~-t' c~ ~ndrew ~abol
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~ - ' Yargaret E. Sabol
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~ `$~n~to and subscribed before me thrs day of Janua7~y ~ ~q ?1
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~ ROGER ~OITRAS
CIRCUR/~IKT Notary Public
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~ By D.C. My Commission expires
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Re b~ ~x~arl~d iw dupiicM~ and ori~inal f~d with Ctwic Ckaiif Cewt, and d~epliuh wilh Tax As~er.)
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