HomeMy WebLinkAbout1556 . t~~:ci~~r~:ticrr~ vt F3ornicil;; .srid Citi~cn,:liip
~ 250981 .
TU TNE STATE AND COUNIY TAX l~;SL-SSOk,
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the States of Florida that I am fili~g tliis day in actordance and ~
in conformity with Chapter 222, Scction 222.17, Florida Statutes.
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1 was forme~ly a legal resident of ~ N ~
(City (State)
and 1 resided at ~Z 6 S ~~~1/?PIQ ~ f- /Y~ Howeve~ I have changed my domiCile
- (Street and Number) ~
- ~ y~
to and am and have been a bona fide resident of the State of Ftorida since ~ day of
S~' , 19~, and I reside ~at ' ~~'2~ ?RR~~ v~ ~W ~rY~ `
(Street and Number)
FORT PIERCE, SAIN? LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Flotida.
(Insert here any pertinent facts. such as sale of properry or business, or relinquishment of employme~t
at former domicile, ~emoval of family to new domicile, purchase of home, etc.)
Applying~ for Homestead -
25Q981
- Entering children in school : ~
~1
LED AMp qECORp
=~•111CfE COUNTI' f~ .
. ROCEA PattR~S
~ ~ • Rf O~RO VER~ ~jEp ~OURt -
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. I fURTHER CERTIFY that I wil) comply with all other requirements of a lega) resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ y'~ -~l. / P~E~ -?R~
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••..,$~~~~ijar'and sGbstribed before me this "2 day of . , 19~.
1
ROGER PO{TRAS
ERK CIRCUIT COURT Notary Public
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ay ~v``-~~ D.C. My Commission expires
(To be oxocutod in duplicato and ori~inal (iloc~v~j1~~'.Iq~c Circ~t Cou~f, and duplicato with Tax Assossor.) _ .
60pK 1~ PACE ~~s
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