HomeMy WebLinkAbout1485 D~la~stla~ ot Oomlail• and Citis~nship "
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TO THE S~ATE AND COUNTY T/1X ASSESSOR.
Sl. tUC1E COIjNTY, flOR10A:
This is my decla~atio~ of Domicil• •nd ~itiz~r?ship in 1F?~ St~t~ of Florida that 1 am filinp this dsy in aooo~dano~ and
~n to~fomnity with Chepter 22Z. Sattion 222.i7. Florid~ St~tutes.
1 wss formerly s leflal ~esident of - Ne~ York Citv ~1e~1 York _
(Ciy) (Sta»)
and ~ ~es~ded at 6706 164 Street Fluehing ~V1ever ~ hav~ chuped my domic,ile
(StrMt and Numbe~)
ro a~d am and have bean a bona fids resident of th~ State of Flo?ida aince dey of ~
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September ?A 3?11 Ave. Q Su~land Gardens
- . 19 snd I roside at ~
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FORT MERGE. SAINT LUClE COUNTY, I~IO~IDA !
and this statement is to be taken as my decla~ation of citizenship, actual Ipal reside~ce and domicile in the Staro of Horida.
pnsert here any pertinent facis, such as sale of property or business, or relinquishme~t of employme~t _
at former domicile, ~emoval of family to new domicile, purcha~ of home, etc.)
Establishing residence and applying for homeatead
~ 2~334Q
FIREII ANO RE O
=T IUC~E COUqTr
CtE R6C
RCUIt C0=?
RECORD YER~FIEO~~~'
~ 15 !0 os AM'TI
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~ I RJRTHER CHtTIFY tfiat I wili comply with all other r~quiremenri of a le~al r~idsnt of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my fo~mer domicG~e, and I intend to ~emain i~ FORT
~ PIERCf SAINT LtKlE COUWTIf, FIORIDA, permanently.
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~ 1~~,~~ ~y ~me~
. ~ : Helen Kretch
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~ S~worn to ~nd wbxribed before me thi: 15~ day of J~uary ~~9 ?1
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~ ROOE~ ~OtTRAt
CiERK COt1RT Not~ry Public
~ By ~.C. M Gommiaion sx 'res
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