HomeMy WebLinkAbout2453 Declaration ot Domicile and Citizenship ;~;~216U
TO TNE STATE AND COUNTY TAX ASSESSOR, •
51. IUCIE COUNTY, fLORIOA
This ~s ~iy declaration of Dom~ule and Citizenship in the Sta~e of Florida that I am filing this day ~n accordance and
~n tonformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a lega! resident of l[~~han~..~~~u.~'g Pgnn+------
~C;ty~ (State)
and 1 resided at _ E ~ 9 Carli~le Plke _ However I have changed my domicjle
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since 2~Td _ _ day of
A~Y'7~1 , ~9__71, and I res~de at 2302 Su11Z'ise ?~lvd. Apt. 2-110
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, fIORIDA
and this statement is to be taken as my deciaration of citizenship, actual legal residence and domicile in the State of Flo~ida.
(tnsert here any pertinent facts, such as sale of property or business, or refinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
Honestead Eaemption
fiiEO.k~ RECORpEO
ST. WCiC ;,A~NTY Ft~.
RaGr ~ ~vITRAS
, CLERK C :..CUIT CQU~tT ~
REG~~~ v_=:cic~~
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; ~AN I~ I 38 PH '~1
` ~22160
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I FURTHER CERTIFY that 1 will comply with all other requiremenfs of a legal resident of this State.
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~ I FURTHER CERTIFY that 1 have no intention to return to my former domiGle, and I intend to remain in FORT
PlERCE, SAINT LUCt~_COUNTY, FLORI~A, permanently.
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' - . . ~ (Name)
" ~ Lester Reaa Arnold
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- . 2302 Sunrise ~l~d. Apt. 2-110 _
. (Address)
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~t , Swom to and subscribeci before me this ~ 4th _ day of 'jeIILlHT3/ 1972
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ROGER POITRAS _
= C K CIRCUIT COURT Notary Public
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- By D.C. My Commission expires
~~a (Io be executed in dupliute a~d original filed with Clerk Circuit Court, and duplicate with Tax Assessor.)
v:;~ ~.o ,3 s~cK1y$ Pac~2450
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