HomeMy WebLinkAbout0293 ~
~~e~l~r~~iion ~f D~mi+~il~ ~nd Ci~izenst~ip ~,7t)~
TO THE STATE AND COUNTY TAX ASSESS~R,
Sl. IUCIE COUNTY, FLORIDA:
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,
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing ihis day in accordante and
in tonformity with Chapter 222, Ssction 222.17, Florida Statutes.
I was formerly a legal resident of ______MexedOSia , Illinois
(City) (5tate)
and 1 resided at ______BOX lI3 _ However I have changed my domiCile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 25th y
- _ - - da of
---------D_ec embe r--- ~ 9~'s_, ar.~ I resicle at -----1513 Boston A ve R .
(Street and Number) ~
FvRT PIEItCE, SAINT LUCIE COUNTY, FLORiDA
and this statement is to be taken as my declaration of citizenship, actual legal residance and domicile in the State of Florida.
(Insert here any pertinenl 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.)
HOMESTEAD & Placing Children in School.
Kenneth Van Hyning 12 yrs, 1~~~
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John Van Hyning 10 yrs. ~.~•~r~
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Jan Van Hyning yrs o '~s 3 ~ Q-U ~ -
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~ I FURTHER CERTIFY that I will comply vtiith all other requirements of a lega) resident ofi:.{~;~ 1~~~,_ ,
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~ I FURTFiER CERTIFY that I have no intention to return to my former domi~ile, and I intenc~'to,,retY~ain ir~~~bRT
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~ NItKCt, SAIN 1 WCIt CVUN t Y, FIUKIUA, permanenTly.
. (Name) Leona Van yning
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~ •••"'•••.~G 1513 Boston Ave. Ft. Pierce Fla
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1 • • (Address)
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,$v~lQf~;tyi +r~~u~scribed before me this 3rd day of - January ~ ~q 66,
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~ ` CtERK CIRC COURT Notary Public
By D.C. My Commission expires _
(To be executed in duplicate ansi original filed with Clerlc Circuit Court, a~d duplicate with Tax Assessor.)
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