HomeMy WebLinkAbout1574 Declaration of Domicile and Citizenship ;
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TO THE STATE AND COUNTY TAX ASSESSOR,
219586 ~
Sl. IUCIE COUNTY, fLORiDA~
This ~s my declarat~on of ~om~ule and Cit~zensh~p in the State of Florida that i am filing this day in accordante and
~n conformity with Chapter 222, Section 222.17, Floricfa Statutes. •
I was formerly a iega! resident of ~t~ _ Indiana _
(City) (State)
and 1 resided at ~ 4_ However 1 have changed my domi~ile
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since ~~ber_? day of
- _ _ _ - 19-~1_, and 1 reside at _$mit~E•
4~ Re~r 381
(Street and Nunnber)
FORT PIERCE, SAINI LUCIE COUNTY, FLORIDA Pierce, Fla.
and this statement ~s to be take~ as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
; (Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
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: Establishing residency for homestead purpoaes
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~ i11.E0 A~+p RECORDEO - ~
~ St.IUCIC ~OUNTY f~A.
~ ROCER POtiTRAS
~ PEC4R0 VER~F EO COURT
~ N~~ 29 12 24 ~'z ~
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~ 219586
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~ I FURTHER CERTIFY that I will comply with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no iniention to return to my former domiCile, a~d I intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently.
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(Name) g~ oyd R. York
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~k~~~ Cora E. York
Sworn to and subscribed before me this 29 day of November ~ jq 71 .
= ROGER ,RO}~RAS ~
CLEWf'.C(RCUJr CO~I Notary Public
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By _ D.C. My Commission expires ~
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~ (To " xecu~sd ~,dy ~ snd original filed with Clerk Ci~cuit Court, and duplicate with 7ax Asseswr.)
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