HomeMy WebLinkAbout2692 Decisratio~ ot Domicil• and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR. 22~463
51. lUC1E ~OUNTY, FLORIDA:
This is my decla~ation of Domicile and Citizenship in the State of Flo~ida that I am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Rock Island I11.
I was formerly a legal resident of
(City) (State)
Reynolds , I11.
and t resided at _ _ _ _ _ _ . However 1 have changed my domiGile
(Street and Number)
August 6, 1971
to and am and have been a bona fide resident of the State of Florida since _ day ot
t9___, and i reside a~ ~ 8Ol Palm Avenue
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the 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_)
homestead exemp tion
~ LEO AND REC~R L
~ ROCER P01~R~i1
CIERK CiRCU1T C011RT ~
RECORO YER~FIEO i~
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~ 1 FURTHER CERTIFY that I will comply with all other requirementa of a lesal residant of this State.
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~ I FURTHER CERTIFY that I have no intention to return to my former domic,ile, and 1 intend to remain in FORT
~ PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
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3 • (Name)
- Robert Stuart
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" ~"~t ~ ` (Address)
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Sworn~lb and suburibed before me this 29 day of March ~~'~~y
ROGER POITRAS
_ CLERK GiRCU1T C Notary Public
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By ~ D.C. My Commission expires
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(To b~ ac~eul~d in duplieah a~d ori~inal Rl~d wieb CINIc CirwH Cou~f, and duplicat~ with Tax Ass~swrJ ~
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