HomeMy WebLinkAbout2203 Decl~ra~t~on ~t i~amicite and Citizen~hip ~
TO THE STATE AND COUNTY 7AX ASSESSOR, ~~t
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Sl. LUC~E COUNTY, FLORIDA:
This is my declaration of Domicile and Citizenship in ihe State of Florida that I am filing ~his day in accordance and
in conformity with Chap!er 222, Section 222.17, Florida Statutes.
~ti~E'St HO11 'IJOOd
I was tormerly a legal resident of _ ______y _ la.
(City) (State)il--~-
and I resided at 7836____L11 _bleridian Street_____ _ _ However I have changed my domi~ile
(5treet and Number)
to and am and have been a bona fide resident of the State of Florida since ..__._.___Z_5t_ day of
- ~C ~ _ - , 19--- - fj 5nd I reside at __1Q1Q__.~o uth 13t h S tr ee #
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
aiiu' ii~iS JIdIC111C111 i5 iv uc idnci~ a'3 T~y v~~i~~~~~:;~i :;i ~i~i~~::,,: -,:.,.~i .
V;,:~~..__ ~,•.---:I° fl,e C~~~o nF Flnrirla_
~ j-%, ~ y a . . . - -
(Insert here 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.)
Applping for l~omestead ~
EC R~ED ~`'~':~`.:'ti_..~
FII~,~~~~BOOK
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p~[,a, : 36 yF_
'6S FE8 I 5 PM = r:_ = ~ ;
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J(y~rt • . ~ ,
~~lL/Vl.~ ~ ~y~ • 1a; ~i •
R~GER F'vl~iRt;S. CLERK ~ •:~'.:...'.•'~~:Y' '
ST. LUCtE COUt~TY. , '
FLORID~? . . .
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fy ~ ;
I FURTMER CERTIFY that I will comply with al) other require ents of a lega) resident of this State. j
. i
I FURTNER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FORT ~
3
PIERCE, SA1NT LUCIE COUNTY, FLORIDA, permanzntly. ~
'.y i ~i:_:=:_'~~`II' Y: , ' ;
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. . c • • -
=.i ~ z;:~~11.. : ~~t ' • - '
; ,-a; . Robert ~~me~ Przeko .
- , - : _ . ,.+.~•ti~ ~ ,
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' - (/~~cs) w~f e ~
. .
-'c^;~~ L,C'~'',,~`~ Barbara Przekop -
Sw~orn~'to and subscribed before me this 1Sth day at _ Feb. ~ ~q 66 ,
ROGER POITRAS
RK CIRCUiT OURT i~lotary Public i
, , `
BY D.C. My Commission expires ~
~
. ~
(To be exeeuted in duplicate and origina) filed with Clerk Circuit Court, and dupiizata with Tax Assessor.)
aoox 138 ~9`~