HomeMy WebLinkAbout1558 . L~::ci~ir~Yticii~ vf Cc~rc~icil~ titici Ci:i::i:~laill~
~ ~9~83
TU TNE STATE AND COUNIY TnX n55E-SSOR,
51. LUCIE COUMY, FLORI~A~ '
This is my declaration of Oomicite and Citizenship in thE State of Florida that 1 am filing this day in auorclance and y
in conformity with Chapter 222, Section 22?.17, Florida Statutcs.
1 was formerly a legal resident of
~C~ty~ (Stat
and I resided at ~ However 1 have changed my domitile
(Sireet and Number)
to and am and have been a bona fide resident of the State of Florida since ~ 2~ ~~Y ~ -
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, 19 , and I ~eside at ~
_ (Street and Number)
FORT PIERCE, SAtNT WCIE COUNTY, FLORIOA
and this statement is to be taken as my detlaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, svch as sale of property or business, or relinquishment ot employment
at former domicile, removal of family to new domicile, purchase of horne, etc.)
Applyingj for Homestead • -
. ~i.u°c~E'c~w~,
CLERK C RCI~! T~~ 6
RECORO vFc~riEO~,,,~~
' ' ~ 1 2 ~ ~I'13
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f 2~5~09~83
1 FURTHER CERTfFY that 1 will comply with all other requirements of a legal res'~dent of this State.
1 fURTHER CERTtFY that I have no intention to return to my former domiule, and I iMend to remain in FORT
P(ERCE, SAINT LUCIE,.~QUNTY, fLORIDA, permanently. ~
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~ '''/f~C!~'~Co~and suburibed before me this -2 day of , 197~
ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
,
, ,
LY - _ _ U.C. I~ly Commissi~n expirc.K
~ ~.<<212 ~~~1558
(To b* oxew~ad in duplicate ~nd originat (?1~d witl~ t1e~k Cirwit Cvur~, snd dupliut~ with Tsz Assessor.)
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