HomeMy WebLinkAbout2252 . Declaration ot Domicile and Citizensh~p
TO THE STATE AND COUNTY TAX ASSCSSOR, _
Sl. LUCIE COUNTY, FLORIDA: 261830
This is my dcclaration of Domicile and Citizenship in the Sta~e of Flo~ida that 1 am iiling this day in accordance and
in cenformity with Chapter 222, S~.?ction 222,17, Florida Statutes. .
1 was formerly a legal resident of •
(Ciy) (State)
and 1 resided at However 1 have changed my domici~e
- (Street and Number) •
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to and am and have been a bona fide resident of the State of Florida since - day of _
i ~u~ ~1~ • -
- , 19..C~ and I ~eside ~et i
(Street and Number) `
~ /yo G So- ~ S S
FORT PIERCE, SAINT LUtIE COUNTY, FLORIDA -
~f - ~.~ceu-~ ~ /C / ~ ~
and this stateme~t is to be taken as my declaration of cititenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent fads, 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 . ~
- Entering children in school :
~ Qm`-~-- ' . -
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. f LEO I~MD RECOROE
L n ~m ~ _ :~.ROCER POiT AS ~
~ C~ CLERK CL':CUIT COURT ~
• _ Rf~AP.~J Y~PTEiE~.....~~
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~ 261830
1 FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT
P(ERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~ ~~l l3Nc ~l~
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~~"'-r~E~S~p~t~~~nd subscribed before me this day of , 19 ~3
'r '/flt11t!•iN~~, ~ ~
ROGER PO{TRAS -
CLERK CIRCUIT COURT Notary Publit
~
.
~3y _ D.C. My Commissien expires
~oo~ 217 PAGE2243 - .
(To be oxeculed in duplicato and oric~inal filed wi11~ Clerk Circuit Court, and du~~licato wilh Tax Assossor.)
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