HomeMy WebLinkAbout2335 . Decl~iratia~~ ot Do~ntcile ac~d Cifizansl~ip ' ~
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TO THE STAIE AND COUNTY TAX ASSGSSOR. 2S1~s
51. WCIE COUNYY, FIORIDA: - ~ '
This is my declaration of Domicilo and Citizcnship in the State of Florida that I am (iling this day in actordartce and
in conformity with Chapter 222, Sectio~ 22~.17, Flo~ida Statutes. .
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I was fomnerly a legal resident of _
(City) (State)
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d . However 1 have changed my domidle
end I ~esided at
• (Street and Number) • ~
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to and am and have been a bona fide ~esident of tho State of Florida since ~ day of
' . 19.~ and I reside ati ~ d~
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~ (Street and Number) .
FORT FIERCE, SAINT LUCIE COUNTY, FLORIDA .
and this statement is to be taken as my. declaration of citizenship, actual lega) residence and domicile in the Stete of Fio~ida.
(I~se~t here any peninent 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 - -
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- Entering children in school
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~fa~ c~RCUrT cau~t ~ ~ -
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1 FURTHER CERTIFY that 1 will comply with all other requtrements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. '
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Sworn to and,suburibed before me this day of . 19-~'
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ROCER POITRAS
CLERK CIRCUIT COURT ~ Notary Public
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ay D.C. My Commission expiros ~
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(To b~ oxecutod in duplicato and ori~inal filod with Clork Ci~cuif Courf, and duplicat• wilh Tax A:sossor.l
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