HomeMy WebLinkAbout1764 ~eci~ratien of Domici~~ ~nd Ci~izenship ~
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TO THE STATE AND COUNTY TAX ASSESSOR, `i ~E) ~t,.~~~~
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in accordance and
im m~fnrmitv wifh ChantPr St~ctinn ???.17 Flnrirl~ Statutes.
` I was formerly a legal resident of GarY_ _ _ ____-~I1C11~.I1a---___
~ (City) (Staie)
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and I rasided at _ 5301 Cle_Velafld_ St_reet___________ . _ . However I have changed my domiGile
(Street and Number)
~ to and am and have been a bona fide resident of the State of Florida since day of
pe~emt~er___, t9_65_, and 1 reside ar __5215_So Ind.kiver Drive
(Street and Number)
FORT PlERCE, SAINT WGE CUUNTY, FLORlDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
< (Insert iiere any pertinent 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.)
Applyir~g for h~~mestead F~~-ED AND RECORDEp
?r~ __R~~ooK
' . ~ c~t.l~~,~
' . . . - '66 FEB ? Ph1 2 ' y 5
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; . . . :r :
s - . . . . ' ROGER_~~~~ ~
~ - ~ r .~~.~~ERK
~ . . . _ ST. LUCIE COUNTY,
r , FLORIDA
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~ I FURTHER CERTIFY that I will comply with all ather requirements of a lega) resident of this State.
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I FURTHER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently_
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~ L • • • ~ ~ c;'
' - (Name)
~ ~ ~ ~ ~ ~ Arthur S. Kidwell
~ S : - ~ - , . -
~ ~ . ~ ~ • ~ (Address)
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~~`~S4'vor'n ~fo and subscribed before me this ~th day of - Februarx , 19~~.
R GER POITRAS
RK CIRCUIT OIIRT ~ Notary Public
By D.C. My Commission expires
(To be executed in duplicate and origina) filed viith ~lerk Circuit Court, and dupliwte with Tax Assessor.)
BOOK137 558