HomeMy WebLinkAbout1399 O~alaration ot Do~lai!• and Cltls~~ship
TO THE STATE ANO COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY. FlOR10A:
This is my declsration of Oomicils ar?d Citiz~nship in th~ State of Florida that 1 am filinq thit day in atootd~nt~ ~nd
~n oo~formity with Chapte~ 224, Section 222.17, Fbrid~ Statut~s.
I was formerly a la~a! resident of Fluahin~ .nn~ Isl nd ]Iew York _
(City) (Sta»)
end 1 ~e:ided at _ 17021 27th Ave. However ! have chanqed my domic~le
(Sf~vet and Number)
to and am and have been a bona fide reiident of the State of F{orida - sinta 5 th ~y ~
November , t9 70 , and i reside at 1381 San Sovina Terrace
(SNeet and NumbK)
FORT M~CE, SAINT LUCIE COUNTY, RORIDA
and this statement, is to be taken as my detlaration of citizenship, adual legal residents and domicile in ihe State of Horida.
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(Insert here a~y perti~ent fatts, such as sale of property or busineu, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Applying for homestead
~ 2032~~
f`Ep ANO AE ~ f
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ORO ~ERIFIEQ C011~~~
REC
13 1206~x~~1 ~ _ -
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~ 1 FURTHER CHtTIFY that 1 will oomply with a!1 other requiremenri of a lepal raidant of thi: State.
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~ I FURTHER CERTIFY that I have ~o intention to retum to my former domicjle, and I intend to ~emain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIOA, permanently.
~tit~'~~t° n p _
`~~~~~1 Sti~~..''~~ ~ . 1~-~-CSt_Gti~ - e ~tl ~~'~-e~'~-~
~ ,~~;'~~.`~~'i~~~~~~.. Catherine~~a~~ Falcone
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~-~•~SvMOr~(~o`e~d :ubsuibed before ms this 13th ~y af JSUUary , 19 7.
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ROGER ~ORRAS
/ ClBK C~CWT COURT Notary Public
~ B . D.C. My Gommiuio~ expires ~
- (Te b~ ~x~nM~d fe duplicata and eri~Mal Al~d wilb C{wlc Gra~if Ceue~, and d~plkaN wilb tnc A~~a
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