HomeMy WebLinkAbout0552 DeGlaration ot Domicile and Citizenship
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TO TIiE STATE ANp COUNTY TAX ASSESSOR,
Sl . LUCIE COUNTY,. FLORIDA:
Tl~is is my declaration of Domicile and Citizenstiip in tlie State of Flarida that I am filing this day in accordance and
~n conformity wi~h Chapter 222, Section 222.17, Florida Statutes.
I was formeriy a legal residenr of _Dearbom ~lChlgall
~City) (State)
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238 Cherry Vally Drive
and I resided at However 1 have changed my domic.ile
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since OCtober _ day of
_ 19
71_, and 1~~eside ~at _854 $olaz j~venue
~ ^ (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, fLORIDA
and this staiement is to be taken as my decla~ation of citizenship, actual legal residence and domiciie in the State of Fiorida. ~
(Insert he~e any pertinent facts, such as sale of property or business, or retinquishmP~t employment
at forme~ ~~micile, removal of family to new domicile, purchase of home, efc.)
Applying? for Homestead
Entering children in school : ~
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~rchased home in Port St Fucie FIlEO ~ND REC~R~EO ~
ST. ~uc~[ cauM Y t~, ~
ROGEn POtTRA3
CLERK Cf•-^:CU~T COURT
RECOR~ V~R==!; 0
, SE~ l 3 39 PH'1Z
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I FURTHER CERTIFY that I will comply with all other requiremenis of a legal resident of this State.
I FURTHER CERTiFY that I have no intention to return to my former domic,ile, and I intend to rerr~ain in FORT
PlERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
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^ (Name) Richard . Baugh
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:$worn to ari'~# "Suk~scribed before me this _ day of Sept~ember . ~ 19 72
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, ' . ROGER POITRA3' ` - .
• C K CIRCt1iT ZOURT Notary Public '
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gy _ ` ~ _ D.C. My Commission expires
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(To be executed in duplicate and original filed with Clerk Ci~cuit Court, and duplicate with Tax Asseswr.)
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