HomeMy WebLinkAbout0966 O~cla~ation ot Don~l~il• and Cltis~nship
TO TNE STATE AN~ COUNTY TAX ASSESSOR.
Sl. tUC1E COUNTY, fIORIDA:
This is my declu~tion of Domicil• •nd Citiunship in th~ Stat~ of Flo~ida that 1~m filinq this d~y in ~ooordanc~ ~nd
~n conformity with Chapte~ 222, Section 2~2.17, Fb?id~ St~tutts.
1 was formerly a leysl resid~nt of Fort Lee New Jerae3l
(Cih) (S~aa)
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and 1 residad at ^ 2160_ CeIIte2' Ave. _ ~~~a my domicJle
(Shett and Numbsr)
to and am and have baen a bona fide resider~t of the State of Florida since 1s t day of
_~ll~ , 19~, and 1 mside at '~0? HOll~. AV@.
(Street snd Number)
FORT PIERCE. SAINT LUCIE COUNTY, RORIOA . -
&nd this statement is to be taken as my declaration of citizenship, actual legal residenoe arsd domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at forme~ domicile, Temoval of family to new domicile, purchase of home, etc.)
(Hcmestead E~cemption) ~ ~
. 2~29i2
F ~E~ ANO ~EC ~Q~
a~~ RO Eit
POITRAg ~
CLERR ClRCU1T C4URT
RECORO YERIFIED
6 10 ~ ~M'Z I
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~ I FURTHER ~ERTlFY that 1. will oompty with ali other requirements of a le~a) resident of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT ~
F
PIERCE, SAINT LUCIE COUNTY, FLORI~A, permanently. SBmLiB1 HyIDBII
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~ Sworn to and subxribed before me this 6th day of January ~q1~,
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ROG(~`
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~ COt~T~`; Notary Pubtic
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~ ey ~ D.C. My Gommiuion expires
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