HomeMy WebLinkAbout2388 Declaration ot Domicile and Citi=ensl~ip
TO THE STATE AND COUNTY TAX ASSESSOR. 238912
51. WCIE COUNTY, FIORIDA:
This is my declaration ot Domicile and Citizenship in the State of Florida that 1 am filing this day in accordance and
~n coniormity with Chapter 22?, Section 222.17, Florida Statutes.
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I was formerly a legal resident of - - - - - - - ~
~C~~yj (State)
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and 1 resided at _ Howeve~ I have changed my domiCile
treet and Number)
to and am and have been a bona fide resident of the State of Florida since day of
. -
- - - - 19~~ , and I reside at /`L~~ ' ~
9 ' (Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual lega) residence and domicite in the State of Florida.
(Insert here any pe~tinent facts, suth 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 ; ~
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1 ~ ~ED AMD RECOAp
t~ wc?~ CouMir E~
~~~Q ~G~C'~~' Ol[RK ER POiTRAS
C. ~ CIRCUI
O~"-.J ~ j ECORO VER?F~Ep CO
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I FURTHER CERTIFY that 1 will comply with al! other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my for r omi~ile, and i end remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
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F~to,and s~bscribed before me this ~ day of , 19 '
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ROGER POITRAS
d RK CIRCUIT COURT Notary Public
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By !j?~~~~ 0.C. My Commission expires
; (To be executed in duplicste and original filcd with Clerk Circuit Cou~f, and duplicate with Tax Assessor.)
s a BooK 206 P~~f2384
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