HomeMy WebLinkAbout1652 D~ala~~tio~ ot Oanlail~ a~d Citissnship
TO tHE STATE AND COUNTY TAX ASSESSOR,
Sl. IIJCIE ~OUNTY, FtORIDA:
This i: my dacla~ation of Domicile snd ~itiz~n:hip in tF» Stat~ of Horida that 1~m filirp thii d~y in aooordana and
in oo~fo~mity with Chapter 22?, Section 222.17, Flo~ids Statuta.
I was formerly a legel rssider~t of - _~Bvnard . Ase?
Kity) (Stah)
and 1 residad et _ 19 BrOwri Street . However 1 hsve charpsd my domidle
(Street and Numbe~)
to end am and have been a bo~a fide resident of the State of Florida sinoe 1$ t day of
_ December ,}970 , a~ i~~ ~ 201 Hialeah Ave.
(Straet and Number)
~ORT r1~CE, SAINT lUC1E COUNTY, ROR{DA ~ ~
and this statement is to be taken as my decla~ation of citizenship, sctual la~aa) residence and domicile in the State of Hortds.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at forme~ domicile, ~emovat of family to new domicile, purchase of home, ett.) ~
Establishing residence ar~ lpplying for homestead
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1 FURTHER ~HtTIFY that I will oomply witfi all other nqulrements of a lepal resident of thls State.
t FURTHER CERTIFY that I hsve no intention to return to my former domiqle, and I intend to remain in FORT
a
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ ~~`',•`~'~jt e1Q '•!i` ~ .
~ . . . • t~ _ (Name)
` Jes$ie H. Taylor
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~ L'`f,'. ' . .
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~ '~rtsriCt+~;~~+d substribed before me this 18th day of J~ld$~y 19.~_.
.
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~ ROG~ rO1TRAS -
CIRCUR COURT N018~/ PNbI1C
~ ~C~"!%`~c.L/~/~'~~
~ By D.C. My Commiision expires
~ (Te b~ ~ac~a+hd in dvpUcat~ and ori~inal tiad wi1i~ Cl~lc qraiif Carrt, and dupllcah wiN~ Tax As~ra
~ 3 ~o~ ~.89 P~~~ 1fi~7
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