HomeMy WebLinkAbout0077 Declaration ot Qomicile and Citiz~enship
TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNTY, FLORIDA:
Th~s ~s my declarat~on of Dom~c~ie and Citizenship in the State of Florida that I am filing this day in accordance and
~n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a iegal resident of Jersey Ci~Y _ lterr_ Jersey
~C;ty~ (State)
and I resided at 319 Colwnbia Ave. However I have changed my domic,ile
(Street and Number)
ro and am and have been a bona fide resident of the State of Florida since l8th _ day of
November ?1 246 I~. E. l~ainaail 5t.
, 19_ , and I reside at _ -
(Street and Number)
FORT PIERCE, SAINT IUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence anc~ domicile in the State of Flo~ida.
(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.)
Establi8hing resicence and ap~lying for homestead
222562 {
Fi~EO e~?rc ~ECa~oe?
ST. lUC1E COUN7Y FIA.
ROG_°. P~?lTRAS
Cl€RK i.~n ,~JIT COURT
i RECCi,~: 'lEi•tf?rG
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` 1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident ot fhis State.
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~ I FURTHER CERTIFY that I have no iniention to return to my former domi~ile, and I intend to remain in FORT
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~ PIERCE, SAINT f.f~NTY, FLORIDA, permanently. ~
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~ ''`'v~ ~ Ralph A ~iaater~ ~
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- - s•~- ' • Clara A.
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:;s ~t+4orq,lq.antl~iubscribed before me this Jay of -__J~~r~__ , 19??_. •
,yl~
ROGER POITRAS -
- RK CIRCUIT COURT Notary Public
3 1 /~I ~^~Y v
~ gy - _ D.C. My Commission expires
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~T~ (To bs executed in duplicate a~~d originsl filed with Clerk Circuit Court, and duplicate with Tax Assesso~.)
, 3 a~aK 199 P~~E
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