HomeMy WebLinkAbout1151 D~claratio~ ot Oon~icil• and Citis~nship
TO THE STATE AN~ ~OUNTY tAX ASSESSOR,
Sl. IUCIE COUNTY, FIORi~A:
This is my declaration of Domicile and Citizenship in the State of Florids that I am filing this day in sooordance and
in ~onformity with Chapter 222, Section 222.17, Floride Statutes.
I was forme~ly a legat reside~t of Aggw~~ _ 1[888
(City) . (Stata)
and 1 resided at 10 K1tk18IId St2'@et However t have changed my domiCile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 15 th day of
T~tut~- ~q~, and i~~ide at Rt 2 Boz 361~ Zakewood Park
~ (Street and Number) ~
FORT PIERCE, SAINT LUCIE COUNTY, RORIOA -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Ho~ida.
(Insert here any pertinent facts, such as sale of propcrty or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.) ~
E$tablishing residence and applying for homestead
2033.05 ~
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I RJRTHER CERTIFY that f wifl aomply with ell other requirementt of a leyal resident of this State.
I FURTHER CERTIFY that 1 have no intention to return to my former domiGle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently. ~
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% i (Name)
,V •~Z~~.)`~~.I~'~.~~~~3.
~ _ ~ ~',#~i} ~i ~ _ Frederick E Des~ rlais
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: . (Address)
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~ •SwbiN~tl~~a~nd subscribed before me this 8th day of `j~ua~ , 19 71
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~ .
~ ROGER 'OITRAS
~ CIRCUIT 40URT Notary Public
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~ B D.C. My Commission expires
(To b~ ~x~cubd in dupl~cat~ and ori~inal Al~d will+ C{Kk G?aiif Cour1, and dvplk~ata wMh Tax As~or.)
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