HomeMy WebLinkAbout00091' ~ 9
..~ .
Declaration of ~~dW~'~AR~i~~~itizenship
TO THE STATE AND COUNTY TAB AS8Sa80R,
ST . LUCIE
COUNTY. P'iABIDA:
This is my declaration of Domicile and Citisenahip in the State of Florida that I am tiling this day in
accordance, sad in conformity with Chapter 282, Section 222.17, Florida Ststptea.
I wss formerly s legal resident of., ~~?AN~~~__ LONG ISIGAND NEW YOIaC
(Qt7) --------------------• ------------~8tab) -------------
and Iresided at P •- _ 0 e __Boz__ 261_------_____-- _ .- Howevu, I have changed my domicile
to and am and have been s bona tide resident of the State of Florida since.- _-. -Z~t~1_.._.-__-_ __._____..day of
p~~elpbe~_------------_---_____-. 19_6U and I reside at_____=_-I14_N. 21at_Street ________--
------------------
(8t=eet end Nnst+ber)
___Fort Pierce
St. Lucie __ _County, Florida,
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida.
(Insert here and pertinent tacta. such as sale a2 _yropertr or ~ ~~ ~r~linQuisaLmont of omylorm~t et
former domicile. remonl of tamih to new dom e.-p
~',
_ ivy •.
• ~ ,
• -• ~ -
., • ~~
` ~ • 1 -
91C`~3
F~~ ~:~i ~,-~n ~r~
~~. 1 IU .' ~..
i
~:1 l 1:..' ~ ,,
:~ ~~
~~.~~uc~~ cuur~tY. ~~u~,..,A ~J
I :'L'RTHEF. CERTIFY that I will register st niy locsl addre$a When the registration hooka reopen,
and comply with all other requirements of a legal resident of thin State.
I FURTHER t^,ERTIFY that I have no intention to return to my former domicile, and I intend to remain
;~__ Fort__Pierce_____________~_ St. Lucie _County, Florida,
permanently. (Cih) ./-~--Qy~-
(Name) -- -
Charles T. Lester
---------------- -------------------------------------------------
-- (Address)
Sworn to snd subscribed before me thia__3_______-day of
.•.• r.~,,,_
January , y c .^_ _~, A, L, 1961
`s~}.•
~ w
Notar~r~rbl at•!l~>t"Ida at L:p
_~
My commisaios`~ ;s.r.':;.:~.___~1 Zl/~3
fTo be e:hitCed'i~;tli~l~bte and original Algid with Cle:ic Ciredt Cont. sad dnplieab with Tss Aaessos)
Bowes 8apD11 Ce., Plant CYt~.'1'la.
-, "~.:~