HomeMy WebLinkAbout0770BOOK
ST, LUCIE COUNTY. FLA.
_ Declaration of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASBI~'.3S0B,
sr, LQCis covNTY, FLOxlaa: ~ ~ _ -
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in
accordance, and in conformity with Chapter 222, Section 222.17. Florida Statutes.
I was formerly a legal resident of------G~~I.Al4T~------- ---------------------------------------~ ---------flHIO-----------------------
tC~ty) (SLate)
... _ ...,
and I resided tt ' '' a! ~ - - ~. -~ - ------------ - 1-T~•~.a: _ ti i.e..e n~snoo~i l»V tlulTtja'.1i8
ZV V~..-Sam+ZZLiSL--ii~-f__--. ~ ......- .~-_ -
(3tr~et and NumMr)
to and am and have peen a bona ftde resident of the State of Florida since _--_---day of
- -- February--------- - ---- - - _ t9 56- , and I reside at ---~~4---$~2re~.laligh_.------------ ------------- ------ ------
(~treet and Number)
- 1~'o>l•t- P-1 ~~ 4----------------- -------------- 3t . _ Lug ie---- --------------- -- ------- -----County. Florida,
(c~tiy)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida.
former domiciley removal o! famib to new do> ~ ite ~pnrchasa ~ homo. oarte~~Quiabment of emyloTm~nt at
915'75
Fi~.E~',ANO RECOROEO
I".i .~~~ 13 AM 9: 25
li'J 1LI\ POfTRi'a,Ci, ~`rrv
S1. IUCIE COUNTY, FLOk;~A
ill = 1 .
.'~ 1 ~ l
.-..
.; . . - .
-.,:.
_ ~:
r ~~• ~.
,;
f. -- - v ATi• - ~ r a R:~dTe.°.'S when the reg-atration books reopen,
i :~:.t ~'F~N i:'ii ter!, 1•[-f~i r-1 tl-ioL i 1:211 reel---~. n~- TlSY 1 ~_l r„a_~_
and comply with alt other rcruirements of g lP~l resident vi ii><in .3w:e.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
Fort Pierce 3t. Luoie -_--__---County, Florida,
tn -- --------- - - -------------- ------- -
-------------------------- -----
(c~ty) '.
permanently. ' _~~~~ ~~,~;__-__ -------
(Name) .
Harold Frable
(Address)
... ,~•,
Sworn to and subscribe~~J~tA~Tp-me'tjt+alfl-----•--dsY of
-----~~--~ -------------• 1 '
------- -----
., , .. , .
GJ~ ~~~~~ ~ , ~ ~
~• ~i~s3
My Commission ezpmep! f---~ _---___~~_
(To be executed ir. duylieab and orfRlaal !fled 'with Clerk Cireuit Court, sad duDlieate with Taz Assassor)
~,,. ._, , ~; ~. ~,nt Iv i o F'i. nt 1'117. Fle.