HomeMy WebLinkAbout0632~'o ~ 2
S 11~1~ CQUM7Y. fLA. - 8ouiaf'Q~ b.Todd
Decloro~ion of ~on~~cile and Citisenship
TO THE STATE AND COUNTY TA7C A8Sg880~,
saint Lucie Cp~)NTY,_FI>QBIDA;
This i~ ~- a«:~.F.U~ et fln~idle end Citisanahip in the State of P7o:ida that I aa~ flung this dsy in
accordance, and in conformity with Chapter 222, Section 222.1?, Florida Statgtes.
I was formerly a legal resident of_~_ ~ke_ files ~ _M---~l~---~--_-
(Cib) (8taa)
a±~ ~ ..~_:~~~ _a '{ ~3l ~ Tia-~~n ~RvrP L:..s.w..ww T w~r~ M_ a~~lw~1n
- s teas:::: `-:---- °° -"d'-.-.as-r~~----- ------. ... --- : ~.::.:,.~.., ~ ~:i~L' L`- :-s,•- ..~ ::
---~ --
---- (8trsst sad ~~ lOt2i
to and am and have been a bona fldt~ resident of the 3tats of F'londa ainoe______________.---------------------___day of
December _ 1g 59 and I reside a~__ 1088 Trinadad_ A_v__e~ ________
---- (8t:eet sad Ivambsr)
Fort Pierce St.Znais ~ __-_-_~__County, Florida,
(Cib) -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida.
(Insert bare aar pertinent facts. such as salo o~ yroVutt orbs ~> ~ o~r~linpniaLm~t o~ omplo~moat tit
former domicile. r+emo~al of lamil~ to a~w domieDe. parenaN
Moving into a newly purchased home
_ ~ _
., ,; .
-:
i,~^ - ..., j..c 1~1~
• ..., . .
~~c~1
FILED l~ND RECORDED
,,~
!~~ d -^~ -
~~~~
;`- -
~~ ~7 POfTft~~S, ^t--.,.,
T TI`TIRTHFg (:FIITTFV >~.hgt I will rPgist~r at my local address when the registration books reopen,
and comply w1~71 $11 t~i.tleP fry ltliCl~iCIiW VL ti lc~ai coiuciao tit vaaio va..ta..
I FURTHER CERTIFY that I have no intention to return to mar former domicile, and I intend to remain
• loo rt Pierce r - St ,Lucie _______-_County, Florida,
m---------------------------------------------------------------------------• ------ ------__-----------------
(cit~)
permanently. y _ ~---tSl~_ ~!~~_------------------- --
Howard D, T~~1el
Sworn to and subscribed before me thia__._18 __day of
Notar~r Pablic State of Florida at Lsse
My Commission ezpires_.______-----------?an 18, 1964
(Address)
'1,~It~11111.11111/i~i,'' .
~, 1' .' ~ .. ~~ i Z
~ `~~; ~: _
~ ~. t `~", I ~; a ,,, p `
jy3i
'.fir' di . rt•i • fi ~ ~ ~
v' '~
(To be executed in duplicate and ori~foai died wk6 Qeslc (~reait Co~i~j~l
wn>~n Buoolt ('o.. Plant Cltr. Flta.
with Ta: Aassswr)
l