HomeMy WebLinkAbout2595 aaluatio~ o! Oomlatl~ and Citis~shlp
TQ THE STATE AND COUNTY TAX ASSESSOR,
Sl. LlK1E COUNTY, FtORIDA: _
This is my declaretion of ~omicile a~d Citizenship in th~ St~te of Florid~ th~t 1 am filinp this day in sooorda~a ~~d
in oonformiry with Chapter 2Z2, Section 227.17, Florida Statutes.
I was forme~ly s I~gel resident of Troy 8ew YOrk
(City) - (St~»)
and_I resided at _ 46 Ot8eg0 AQe.
. HowevK 1 have charped my domWle
(Street and Number)
ro and am and hsve been a bona fide resident of the State of Florida since 15 ~ day of
_ Februarv , t9~, and ~ restde at 2705 Cortez Blvd
. (Street and Number)
FORT M~CE, S/?INT LUCIE COUNTY, RORIDA
and this statement is to be taken as my decla~ation of citizenship, actual leyal residenoe and domitile in ihs State of Horida.
(Insert here a~y pertinent facta, such as sale of property o~ business, or relinquishment of employment
at formsr domicile, removal of family to new dors+icile, purchase of home, etc.)
Establishing residence and applying for homestead
2~ 393:~
•f lE0 AND RECOR~EO
=~~~IIOCEA P01T~s~
CIEAK CtRC1tIT COUl~t
RECOaO VEa~f IEO
1e 1 ~ PN'i l
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I FURTHER GE~tTIFY that 1 will oomply with ail othK r~quirements of a IeQal reside~t of this Stat~.
t FURTHER CERTIFY that t hava no intentian to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently.
`'~~~j~~' - '~'G~~r,' ~ JQ
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: • ~ ~ ~y ~ _ (Name)
: ~ ~r~~ v
~ ~o George D. llarteny
.l` :_a~. S"' ~ G•
• Y ~ rI' a~~; ~ , I~1 ~ ' _ •
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f'"~:' 'Q ~
~ . ~ : ~ (101dd~@if~
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''~~•Q•1`~
~ ~i
January , ~q ?1
"'Swiu~i~tqand suburibed bofore me this 28th day of -
ROGER 'ORRAS
C~qM CpV~ Notsry Public
gy ~.C. My Gommissia~ expirss
R~ i~ ~ncvNd ie d~plicah and e~i~inal flMd wbh C1Mk Cirwi! Cwr1. a~i d~pikiN wilh Tax A~ora
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