HomeMy WebLinkAbout1820 DeClaration ot Don~icile and Citisenship
TO TNE STATE AND COUNTY TAX ASSESSOR. 22~.'~14 ~
51. LUCIE COUNTY, FLORIDA:
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This is my declaration of Domicile a~d Citizenship in the State of Florida that 1 am filing this day in accordance and ~
~n conformity with Chapte? 222, Section 222.17, Florida Ssatutes. ~
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I was formerly a legal resident of __~~'~On NeA YOrk--_--
(City) (State)
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and I resided at _ ~T_ pA~"Y__~tl"@@t____ . However 1 have changed my domiCile
(Street and Number~
to and am and have been a bona fide resident of the State of Florida since _ ~ st day of
_ _ Auguet _ _ , ~9__7~, a~d I reside at ___~~01 ~e1v311e RoBd _
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this stateme~t is to be taken as my declaration of citizenship, actual tegal residence and domicile in the State of Florida.
(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.)
Homeateed E~cenption 2~~'~14
f ~EO ~?ND RE~ qpE, `
4~. ~~~jE ~~~~~1~ iL,i..
ROCEF. P~}iTR~; '
CLEtiK Ct::CJtT CO RT `
RfCOR.^ YF~I~IE'J
1 2 P~'1Z
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~ I FURTHER CERTIFY that I will comply with ell other requirements of a lega) resident of this State.
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~ I FURTHER CERTIFY that I have no intention to retum to my former domiG~e, and I intend to remain in FORT
PIERCE, SAINT, W~IE' COUNTY, FLORIDA, permanently.
~ • ~ _ , ~
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~ ~ • (Name)
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~ Bessie Perez
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= , ~ - ~ 5101 l~el~ille Rond _
• • ~ - • 'a`r~ ` (Address)
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Sworn to and subscribed before me this 7th day of _ January , ~q 72 _
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RO~iER POITRAS
CLERI( CIRCU{T COURT Notary Public
By ~ D.C. My Commission expires ~
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' (To b~ ~xscutad in duplicats and original tiled with tl~rk Circvit Court, and dupliut~ with Tax Ass~s:or.)
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eooK198 Pac:~818 ?
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