HomeMy WebLinkAbout0658 _ _ ~
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~1e~laration ot Domi~ii~ ~r~d Citi~efl~i~i~
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TO THE STATE AND COUNTY TAX ASSESSOR, ~
Sl. IUCiE COUNTY, FLORIDA: ~ ~~~f ~t ~ ~
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This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance a~d
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in conformity with Chapter 222, Section 222.17, Florida Statufes.
Minnea olis hiinnesota__ ~ ~
I was formerly a legal resident of _ p - - - ~
- - - (City) (State) , t
Freemont Avenue
and I resided at - - - _ _ _ . However I have changed my domi~ile
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(Street and Numbsr} ?
22 ~
to and am and have been a bona fide resident of the State of Florida since _ day of
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January b`~ 2400 N 45th Street ~
- - - , 19_-- and i reside at - - -
(Street and Number)
FC3RT p1ERCE, SAINT LUCIE COUNTY, ~LORIUA
and this statement is to be taken as my declaration of citizenship, actual legal residence and dnmicile in the State of Florida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment ~
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at former domicile, removal of family to new domicile, purchase o# hame, etc.)
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FtLED AND RECORDEp ~
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'a~ JAt~ II A.P~i 9:58
Homestead f ~
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.I FURTHER CERTIFY that ! will comply with all other requirements of a legal resident of this State. ~ ~
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PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. j
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`,y r = , (Name) -
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~ , 1~ d.~;~:t,~? ~ Edward Miez
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(Address)
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y~= Sw~rn,to and subscribed before me this _ 11 day of _ January _ 19_66
ROGER POITRAS
LERK Ci IT COURT Notary Public
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! gy ~~,t~l ' _ D.C. My Comm~ssion expires
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(To be executed in duplicate and origina) filed with Clerk Circuit Court, and duplicate with Tax Assessor.) "
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