HomeMy WebLinkAbout0435ST. Lt~IE COUNTI• flA.
Deciarotion of Domicile and Citizenship
TO TH$ STAT$ AND OOUNTY TAY A88S880x.
This L m~- declaration of Domicile and Citi~enahip in the State of Florida that I am t~ thin aw in
accordance, and in oa~niormity with Chsyter 222, Section 222.17, Florida Statutes.
I was formerl)r a 1~ resident of____Pat~etaoII--(~) -~-----. ---» --~--(----"'
i 7e. at ' S8 17th •~eQU ___-.--------_----_-__-. However, I h:ve chanted my do~nidk
a~ _ .....~ _------ ---- ------- - ~ ~.
[ e~wt as Noeabet) ~
to and saa and have been a bona llde resident of the State of Florida sinee_------------------"---------------._~y ai
Jn7P ... d~__~ , ...__:a_ ... BotiL• 8 _BOZr 87 d8-~,-~~94~p4.~'Y
---• __ , as , waw . ..~..... ..~_~ ._______ - -
(Street cad NnmDes)
Fpri: PierO• ati• ai.~iii ---~~ ~._._ -----%ouaq-, r'torida,
(GYb)
and ttiis statement is to bs taken as my aeclration of dtiseaahip, actual legal residence and domicile in
the_ State o! Florida. pro ~ or
tarI wu da~kiiw ~ ~ :o sew d k~!; ~a~,eb... ot, ~i~e~ni~hm~t d emplo7m~at at
•ppl~ing for hoaestead
~~ ~ ~ ~
~l1V'~.
~```` ~j1l .l ~ l 1n 11/.~ ~~i
,. `~~,. , 'a. ~1.
` ,r _ a _ tip. '~ ~ `': ~. - .
_ •., -
~~,,, ~~i,~ . ;-,
FILED AND RECOROEO
IN ~cuir~-~S-900K
1961 JAN 10 P~ 3:17
FluGt;t POi-fRaS. CLC"Y
Si. LUCIE COUNTY, FIOr<iUA A~
I FURTHER CERTIFY tbat I will re~lster at mJ local address whoa the re~istratiaa books reoQen,
and comply wlth all otter regnirenttnta o! a, legal nsitient o~ this 8tsta
I FI.R ~!_[' that I have n4 iateatlan to return do ~ tanner do®icile, and I intend to remain
~ pert ?iera• ~~ at, Laei• Coaat~ Florida
(CM1) ~ ~ r
- cxos.I .~_ :.
_ ~ M ~~h
t0 and baZal~a ms th ~ y~1f~~ . ~ •v`i ~ .. ~ ,
~ ~.ii.. .. `~•.
•r P traa bi rk t-ee~+trt ~ r,,~~'~
~//~ ` r .
(r. a se.Nlat ~. ~ «il wt.w~,a.~o~ ate- ~ ~ / '' i
.~.~......w a., r~ civ. iw.. - i ~ ..