HomeMy WebLinkAbout2317 Declaration ot DomiCile and Cltizensh~p
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FLORIDA:
This ~s my declaration sf pom~cile and Cit~zenship in the State of Florida that 1 am fiting this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
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1 was formerly a legal ~es~de~t of _ Ber~enfield ~I@R Jerae~r__ '
(C~y) _ - - - - - - (State)
and 1 resided at __~2Q_- 1 gQ~BPt~ _~T~L~ However 1 have changed my domitile
(Street a~d Number) ;
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ro and am and have been a bona fide resident of the State of Florida since _ 18t day of -
HoYemt~~r i9_~1 , and I reside at __.'Z19 H~_Ei_P~rch L~ne_~or~_S~._ Lucie
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legai residence and domicile in the State ~f Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at farmer domicile, removal of family to new domicile, purchase of home, etc.)
Establiahing reaidence and applying ~or homeatead
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ST~~UC E i'.OU TY FLA.
; RGG~~ Pr..ITRAS ~
CIERK C~"CUIT COURt ~
C ~~COR~ '/i -"F°~p a
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~ Ju~ I 3 I 2a PH '71
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~a I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
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~ 1 FURTHER CERTIFY that 1 have no intention to return to m former domiule, and I intend to remain in FORT
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~ PIERCE, SAINT LUCIE COUNTY, FL~RIDA, permanently_ i
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Frank J. Carretta
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• - _ au.~'1.., ~-a%L~.G~ _ ,
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- k:arion J. Carretta
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: Swotn to arut subxribed before me this - 13th day of J811uaT~I , lq ?2 ~
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ROGER POITRAS - -
fi-;= CIRCUIT OURT Notary Public ~
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Sy~ _ O.C. My Commission expires ~
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- (To b~ executed in duplicat~ and ocipinsl ~iisd witl~ CIKk Grcuit Court, and dupliute with Tax Ass~ssor.)
` b00K~~0 PAGf2314
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