HomeMy WebLinkAbout1378 . Declaration ot Do~tticile and Citizenship 221398
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TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my detlaration of Domicile a~d Citizenship in the State of Florida that 1 am filing this day ~n accordante and
~n conformity with Chapter 2~2, Section 2~2.17, Florida Statutes. ~
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I was formerly a legal ~es~de~r of _ Velle~ratrenm, _I,•_I ~~@~if YOrg__ €
(City) ' - - (State) _
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and 1 resided at _ _6~. L~beTS01'i $tr@@t However 1 have changed my domiGile R
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since _ 2~t$ - day of
- --October - i91~ _ , and I reside at ---~~__N9~ N~is g~_p+- -S~. I?ucie
(Street and Number)
FORT PIERCE, SAINT LUCIE GOUNTY, FLORIDA ~
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and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, 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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Eomestead Exemption 2~I~98
ai«c E couNir FEo
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- CtERIC Ct~i.U~t
RECORD Vf:~~F~rp COV1`
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~ 1 FURTHER CERTIFY that 1 will cor~?ply with all other requirements of a legal resident of this State. f
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~ I FURTHER CERTIFY that I have no intention to return to my former domici~e, and I intend to remain in FORT .
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~ PIERCE, SAINT WGIE CQUNTY, FLORIDA, permanently.
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~ ~ ~ - (Name) `
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, ' Rosario Marino ~
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143 No. Naran~a Ave. Pt. St. Lucie
= . (Address) ~
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Sworn to and subscribed before me this 3rd day of Januar~_ , ~q~_ ~
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- ROGER POITRAS
C~UIT COURT Notary Public
By D.C_ My Commission expires 3
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Ro b~ ox~cvted in duplicat~ and ori~ina! fii{~d weM~ Ci~rlc Grcvit Co~eef, and duplicat~ with Tax Ass~stor.)
~19~ ~:1~76
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