HomeMy WebLinkAbout0103
~~~ 1 150
Deelorotion o~T~ c~i~eT on~' Catizenship
TO TH$ STATE AND COUNTY TA% A38ES.SOIi. -
Saint L4c: f s COUNTY, FLORIDA ;
This is my declaratioa of Domidle and Cltiseaship in the State of Florida that I am illinyc this day in
accordance, and in conformity with Chapter 2?Z, 3egtion X22.1?, Florida Statutes.
I was foemerly a legal resident of _Yia~ti~-----•--~_________-------__. ___ ~1QriSiQ._..-------_--
cpa~ c~•~
and I resided at_____42-Q-----411t21__AICB,y[1t8~-.$p~r~aod ----- ------, However, I have chen~ed my domicile
(Stmt gad Numb)
rn~.~ s~ti see isecn a Isara ~e :es;d~* cf ilie State of Florida since--------- ---- -~8t- _- -- ---_-__---dap ei
.-._!T~e _____~_--------_--__-~, 19_.~and I reside at._._3Qs'~.C.~36~t~~tsBet---------_--_....----...........-.---
(Stew! and Namb~r)
Fort Pierce St.Lucie_______-~__..____--County, Florida,
ccct>>
and this statement is to be taken as my decLratioa of dtisenabip, actual legal residence and domicile in
the State of Florida.
t~ ~ ~ ~ toto ~ieile. ~oreb~w ad.o~r~linan~sLm~nt ad aaDb7m~at at
Ptxrchaseda new home in 1~nite CitF
91128
FiLEC A~~~O RECORDED _~~~~~ .
its /~i ws. / nn~y/ _~` _ ! .!.
,a ~~. ~~
•~ .
".; !~''' -~ Pik 2: OS .3' _ . .. -
;, :. Lt!•Cl~ COUNIY. f ~Uy:.-.A ~?' ~ -
I FURTHER CERTIFY that I will mister at n'U- local address when the re~lstistion books reopen,
and comply-with all other requirements oZ a lepl resident o~ this State.
T FLJR.TAER CERTIFY tAat I have 110 intentfOn to ~rfturll to >tnv e1~rw rity»ie~ilo ~» T i»*p»A to ~~nii»
- ---- - -• -Li - -_-_ _- -
~ Fort Pierce gt _~,Q~„
Connty, FiorWa,
r-
tab) ~
peamaneetb-
- -George ~o~-ertl~e'waome ___.
Sworn to gad subscribed bdore ms this ~ a[ ,,.. ,:,;
~ ~ ~ Y '~ ,tom -- '- -?~"
`
~ ~<
; ' " '
`
P.bue Dtaa .t >rke4a at i+srre- - - ~:: a:~ ~
'
•
-
~:
y~
~ .r
'
J
~
iw Coen~IssiOe e'spit+M ~-.~a s
~ ~
C ~'
14 ~ ,. '
~'
.
('lb be aawntaa is daetieab ssd eelailltl 1Gei wlS1 Qsk.
se... s^vws o.~ Ft,u1 Clh. !M. .
is1lieab wla Y1u: Aa~res)
~: