HomeMy WebLinkAbout0741 _ _,r_.
l~e~~~P~ti~~ ot ~om~cile ~n~d Ci@iaen~hi~ ~
TO THE STATE AND COUt~lTY TAX ASSESSOR,
1~19f`~ '
S~. LUCIE COUNTY, FLORIDA:
This is my declaration of Oomicile and Citizenship in the State of Fiorida that I am filing this day in accordance and
in co~formity with Chapte~ 222, Seciion 222.17, Florida Statutes.
I was formerly a lega) resident of _._Ft.Pierce ~la._ ~
- (City) - - - (State)
and I resided at _ _ _ _ . However I have changed my domic,ils
(Street and Number)
to and am and have been a bona fide resident of the State of Florida sinte _ day of
-----~~fl~ -_llQC~_~1~79g----, and I reside at _1 - j
(Street and Number)
FORT PIERCE, SAINT LUCI~ COUPOTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal reside~ce and domicile in the 5tate ot fiorida.
(Insert here any pertinent facts, such as sale of property or 6usiness, or relinquishment of employment
f
at former domicile, removal of family to new domicile, purchase of hAme, etc.)
Applying for homestead F~L p D~~
~t ~~~BOOK
- ~
~~z;' '66 JAN I 3 PM I: 5 y
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_ - = 14~~~`~
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• ~ ' ' ' - " ROG~:; ri t i t~aS. CLERK ~
~ • :=~T. LUCIE COi1;JTY.
~ - ~ ;r~ ~ Fl.OR1DA
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I l=URTHER CERTIFY that I will comply with all other requirements of a legal resident of t}~is State.
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::,t~;~URTHER;CERTIFY that I have no intention to return to my former domicile, and 1 intend to remain in FORT ~
. ~.r;. ~
PIERCE,~ SRlN~ ~~CQ!!t~lTY, FLQ~?l~11, ~!!T?3RPRTIY-
~
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, i~;~- ; - 't - - (Name).
• = ' ~ - = William k. Skinner
; - _ . . ••Y - -
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j, - 64~tcb~ex) wi f e
f ~ ~+Iart~ C Skinner
~ 13fih January
Svsiarn to and subscribed before me this day of , 19_~L.
ROt`sER POiTRAS
CLE CIRCUIT COURT Notary Public
gy ~1-~-~-' ~ D.C. My Commission expires
~ =Ta be executed in duplicate snd orig+nil filad witfi Uerlc Circuit Courf, a:?d dupliute with Tax Assesser.)
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