HomeMy WebLinkAbout1948 i
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. Declaration ot Domicile and Citizenship
238642
TO THE STATE AND COUNIY TAX ASSESSOR,
Sl . LUCIE COUNTY, FLORIDA: , -
Tl~is is my declaration of Domicile and Citizenship in the Slate oF Floricla that I am filing this day in accordance and
~n conformity with Chapter ?22, Section 222.17, Florida Statutes.
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I was formerly a legal resident of _ _ ~CS~- - j
~C~ty~ (State) j
O ~-~~[r However I have changed my domiCile
and 1 resided at .~~Q_L.__ ~ -
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since day of
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_ _ , 19~r~, a~d i reside ~at ~ -~J
- ' (Street and Number)
FORT PIERCE, SAtNT LUCIE ~OUNTY, FLORIDA
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.)
Applying, for Homestead
Entering children in school : n ~
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'G~;r~~-t'D u~Oic+E cou~in~0fu. ~ ,
G~t~~~LG~`~/ l - ROCfR ~pITRAS
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1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State. '
1 FURTHER CERTIFY that I have ~o intention to return to my former domiCile, and I intend to remain in FORT
PiERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
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LORENA E~Na'PF~ATCHER i
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' Swom to and subscribed beto~ ~ day of `~`r'l~ , 197L
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ROGER POITRAS = ~ , ; -
C T COURT j l,~~. y' , Notary Public
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gy :~.j ~.,...r~.4,~", ` My Commission expires ;
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(To be executed in duplicate and origirial filed with Cle?k Circuit Court, a~d duplicate with Tax Assessor.)
BGOr, ~VU P~,GE 19 ~t~
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