HomeMy WebLinkAbout1363 . Decla~ation ot Domfcil~ and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
22138'7
Sl. LUCIE COUNTY, FLORI~A:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legat resident of _ OTZaYld_O__~_ _ lZZi
` - (Ciy) . (State)
and 1 resided at _ 1.~07 $L"j.ETC~~-~T~LB _ However I have changed my domiCile
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since __24th day of
_~~pt_ember- - - ~9~~--, and I res~de at -----1-_4_47 SLUtshirle A~e.
(Sfireei and i~urr~l~er)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA -
and this statement is to be taken as my declaration of citizenship, actual lesal residence and domicile in the State of Florida.
(I~sert here any periinent fads, such as sale of praperty or business, or relinquishment of employment
at former domicile, removal of family to new domicite, purchase of home, etc.)
Ho~eatead Ezemption
CT'~`y'{N~J RFI~Aw~__
.~c~e cauxtr ft° ~
ROGER P~ITRAS `
RECOFpRy C47C(Wt
ER}r~~~ COU T
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' I FURTHER CH2TIFY that I will oomply with all other requirements of a leya) resident of this State.
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~ 1 FURTHER CERTIFY that I have no intention to return to my forme~ domic,ile, and I intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FLORlDA, permanently.
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• ~ (Name)
= ~ Donald I,. Eatea
` 1497 Sunahine Ave.
- (Address)
_ - Donnld I.. Estem
Sworn to and subscribed before me this '~rd day of Januar~ , 19~~.
ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
- By ~ D.C. My Commission expires
Ro b~ ~xea~t~d in duplicaM and ori~insl filed with q~rlc Grarit Court, and duplicat~ wi~h Tax Ass~ssor.)
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