HomeMy WebLinkAbout1518 Declaration ot Domiciie and Citlsenship
2~ ~~.92
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA: ~
This is my declaration of Dom~cile and Citizenship in the State of Flo~ida that I am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of _ __~est__TB~~CaniC - - _ __Rew york .
(Ciry) (State)
and I resided at _ ~Q]C 180~_~11ZQ~~lle__ . However I have changed my domitile
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since ~ 8th day of
- --~$.T- - , 19~~-- , and I reside at ----'~~08 A~Ie . R. - - _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and th~s statement is to be taken 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 employme~t :
:
at former domicile, removal of family to new domicile, _purchase of home, etc.)
2~
~492
Homeatead E~cemption
FIlEO ~ti~ RECQRDEO
ST.IUCIE C~UNTY FIA.
ROCEF i ;,~TRAS
CIERR Ct :CU;7 COU T
REC^F~ YF'~F~F~
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~ ~ I FURTHER CHtTIfY that 1 will comply with all other requirements of a legal resident of this State. ~
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~ I FURTHER CERTIFY that I have no intention te return to my former domicile, and I intend to remain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FLORIOA, permanently.
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. : - 4
_ . . :
~ ~ ~ ~ ~ ~
,3 - (Name)
~ - ~ . . . . Joaeph Rozbury
~ ~ 3508 Ave. R.
" ~ ' (Address)
- Sworn to and subscribed before me this 4th day of Januer~r , ~q~.
- ROGER POITRAS -
LERK CIRCUIT COURT Notary Public
By ~~~?7i~P/l D.C. My Commission expires
(To be executed in dupticats and originat filsd with Cl~rk Grcuit Gourt, and dupliut~ with Tax Ass~s~or.)
.4=~~ No 13 A dooK198 PACE1516
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