HomeMy WebLinkAbout0190 - - -----,~~~-.f
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~~claration ~t t9omi~ile ar~d Citizen~hi~
TC~ THE STATE AND COUNTY TAX ASSESSOR, i Lq S'~~~~~
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51. LUCIE COUNTY, FIORiDA:
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Ih15 IS lllY C]EC13~a1iOfl dT UdiillLiiE' aiiU l.iTiZ8f1S(li~~ ifl Tile Jii3ic Ui i iUitUa st~oi t u~T~ c~~c:~y i~~~~ :.s~ ii, VS`.~VfVVi1{.L ~,~u ~
in conformity with Ci~apter 222, Section 222.17, Florida Statufes.
Buf falo _ New York
I was formerly a legal resident of . . _ _ . _ _ _ _ . . _ .
(City) (State) -
439 ~e S t F e r r}? . Ho~vever I have chan ed m domiCile
and I resided at _ . _ - 9 Y
(Street and Number) ~
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to and am and have been a bona fide resident of the State of Florida since _ lSt day of ~
October _ ~q_ _b$ and I reside ai __18_18 _ ~inney Dr
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FORT PIERCE, SQINT LUCIE COUNTY, FLORIDA ~
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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 fads, such as sale of property or business, or relinquishment of employment ?
at former domiciie, rernovaf of family to new domicile, purchase of home, e~c.) ~
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~pplying for homestead ~
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'.;,:-f';~, FIL~ *AN~ RECORDED ;
. ~ . - a ~ _ ~N ~~~~~~.6r..,..-- BOOK
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" : - - . ; ' <<' : 966 JAN 2 8 PM 12 : ( ~ ~
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~ ~ , ROGER PJ~ i R,'~S, CLERK ~ ~
" ST. LUCIE COUNTY, ~
FLORiDA ~
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I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State. ~
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I FURTHER CERTIFY that I have no intention to re!urn to my former domi~ile, and I intend to remain in FORT ~
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PIERCE, SAINT lUCIE COUNTY, FLORIDA, permanently.
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~L~• . • ' . ' /j -~l~I C~c~f/~ ~
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, ~ ~ , ~ (Name) _
~ ' ~ . Frank j-.tlndrews ~
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Swom to and subscribed before me this 2$ day of --_-~-aAaiuv , 19~1(1-. ~
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ROGER POITRAS ~
ERK CiRCUii ~URT Natary Public ~
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g ~ D.C. My Commission expires ~
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(To be executed in duplicate and original filsd with Clsrk Circuit Court, and duplicate with Tax Assessor.) ~
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