HomeMy WebLinkAbout2038 ~ .
. DeClaration ot Domicile and Cit~zenship
TO THE STATE AND COUNTY TAX ASS~SSOR,
Sl. lUC1E COUNTY, FIORIDA: 261691
This is my declaration of Domicile and Citizenship in the State of Fiorida that I am fili~g this day in actordance and
in coniormity with Chapter 222, Section 222.17, Flo~ida Statutes.
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1 was formerly a legal resident of
(State)
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and I ~esided at ~e~e~ . Howeve~ I have changed my domiGile
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to and am and have been a bona fide resident of the State of Florida since - day of
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(Street and Numbe~)
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FORT PIERCE, SAINT LUCIE COUNTY, 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 properiy or business, or relinquishment of employment
st former domicile, removal of family to ~ew domicile, purchase of home, etc.)
Applying~ for Homestead • -
- Entering children in school :
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I FURTHER CERTIFY that I will comply with all other requiremenfs of a legal resident of this State.
I FURTHER CERTIFY tF~at I have no intention to return to my former, domiGle, and I intend to remain in FORT
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PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently. i.
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~:Sy'v~Q~~~to ~ai~tc~ubjaibed before me this day of ,
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~"•.~R~ Z~~11~O~RT Nolary Public
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; (3y ' ' O.C. My Commission expi~es
° ° 217 2030
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~ (To be oxoculed in duplicate and ori~inal filed with Clerk Circuit Cou~t, and duplicato with Tax Assessor.)
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