HomeMy WebLinkAbout1968 Declaration ot Domicile and Citizenshlp 2~1820
TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. IUCIE COUNTY, FLORIDA:
This is my declaration of Dornicile and Citizenship in the State of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Sect~on 222.17, Florida Statutes. _
I was formerly a legal resident of South _Bend^ In~iana _
(Ciry) - _ - - - (State)
and I resided at 1.1 Q WBat B~ir~1Qt_~___ _ _ However 1 have changed my domici~e
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~7th _ _ _ day of
April ,~9_?~ , and I reside ar 70~ _So._ _ Indian Rii?er Dri~e_ _ _
(Street and Numbe~)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be take~ as my deciaration of citizenship, actual legal residence and domicile in ihe 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.)
Honestead Exemption
F1lED ar~~ ~ECORDED
ST. lUC1E C~UNTII FLA.
ROCER POITRAS
' CIERR C~~CUtT COU T ~
RECORD VE~«sE0
F J~ta 10 I s~ PM'11 `
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3
£ 221820
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~ I FURTHER CERTIFY that I will comply with all other requirements of a lega) resident of this State.
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~ 1 FURTHER CERTIFY that 1 have no intention to retum to my former domivle, and I infend to remain in FORT
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~ PIERCE, SAINT LUCI~ COUNTY, FLORIDA, permanently. ,
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Carl . Rudolph
.y
7~_$~ - Tndi 8n Ri ver nrijLg _
(Address)
j
- Swom to and subscribed before me this _ l Oth day of Januar~__ , ~q ?2 _
`s
= ROGER POITRAS - - _
C K CIRCWT COURT Notary Public
_ By D.C. My Commission expires
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(To be execu~ed i~ duplicate and original filed v~t~ ~~rcuit~~~nd dupliuts witi~ Tax Assssso?.)
~ BOCK Pac:
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