HomeMy WebLinkAbout0007~r 1 ~' '
~clorotion of ~rriid~eo~ FO~itizensi~ip
TO THE STATE AND COUNTY TAlC Aii81i:88O>l,
8?. I.UCIS CpUN"1rY~ li'LOIRIDA:
This is my declaration of Domicile and Cltisenship in the State of Florida that I am slim this day in
accordance, snd in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerZjr a ~ rsailrsat at_~Niagnra Falle -~----_--^---T-~ New York
4~3 Seventh Street (~a) (stw)
snd 1 resided at------ ---- ----------------- ------------------------------- ----- --_---. However, I have clutng~ed my domicile
( sad Nsm:lar)
to and am and have been a bona 8de resident of the State of Florid: aince___._~j __.____ ____ _ __________day of
November 60 1211 Sea~aq Drive ..
------_-.__, 19____, and I reside at-_________._____________ -------------------_---•-
-------------------------------
Fort Pierce Saint Lucia ( ~~ Nnm~.r~
------_----_--~~.._- -_____- -. -______ _County, Florida,
(Clt~)
and this statement is xo be taken as my declaration of citizenship, actual legal residence and domicile in
the Stste of Florida.
yropart~
~ former domiefl .. r*m~ os~! la~mil~ to now domieflo. pnrehiw ~or~rdinpuishmmt of omplormoat st
APP1Yiag for homestead
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I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen,
anti comply with sit oilier requirements of a legal reeideni of tiaia Stase.
I I'`IJKTIiER CElil'II•`Y that 1 have no intention to return to my former domicile, and i intend to remain
Fort P_ ferce Saint Lucie _-____ __ _County, Florida,
m----------------- ---------------- ------------•----------------------------. ------------------------------
(c~ti~
permanently. . `/ „/... ~. C!, J - - ~
Rodney G . /Spence ~
-----------~--------------t--------------------------------------------
(Addreee)
Sworn to and subscribed before me thia___ 3 __.____day of -
J~~~~>~ January 61 ; : ~',:. -
- ;..
,_ .
Roger Poitraa, Clerk of Circuit Court ~ ' , "s'• , -'
-- - -
(To be a:e(:uted in t;oplieab asd osi~lsal sled with
Bowen 9opD1~ ('o., Plant Clt~, 1'ta.
- .~ ~
fit court, ass daplkat. with '31.s It,ioawr)