HomeMy WebLinkAbout0785ST. IUCIE COUNTY. FLA.
Declarotion of Domicile and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR.
Sa i ntLuo i e COI1N't'Y~ IP'I~ORIDA
This is my declaration of Domicile and Citi:enahip in the State of Florida that I am ftling this day in
accordance, and in conformity with Chapter 222, Section 222.1?, Florida Statutes.
Sea Bright NerrJerse~_________________
I was formerly a legal resident of----- --- --- ------------ ------------------------ ----------------------. - ------------ ---- --
(Cit~) (State)
and I resided at.- ~ Celatr Street___________________ __ However, I have changed my domicile
------ --i8trwt and Numbu) - - -
to and am and have been a bona fide resident of the State of Florida since _ -- ---day of
- -----.18D~119.P~------ ------
FortPisrce
155 Narania Armes Port St.Lucie
----. i9_ir~i--, and i resiae at-------------------------------- =----------=-------- ------------- ----•---------
(Street and Number)
---r -------------
3t.Luaie
--_- -----COUII~y, FloridA,
(C+itp) -
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida.
(Insert bare any pertinent facts. such as ,ule of ropertyy or business. or reliaQuishmeat of employment st
former domicile. nmord of tamily to new domicile. pIIrchase o2 home, ate.)
Purchased a newhoms
'' ~ j~~
FILEL AND RECOROEO
ire - ,~ooK
I~`lGER P OUNRY fIOR DA
S,. LUCIE C ~
~'•:,~ T 1 r ~ r, l'~
I FURTHER CERTIFY that I will register at my local address when the registration hooka reopen,
and comply with all other requirements of a legal resident o! this State.
I FUItTHEfi GE~ti1P ' tit i hava io inf~pttion to return {~o tqy former domiciie, and I intend to remain
in ~'ortP.ieras__ {~1 ____~__~__-___~,
Per~neIIyY•
___ ____County, orida,
8iahard dz~i
Sworn to and subscribed before me this ~___day of
_-JannarF A. D. 19 d~
Notars Poblie Matt a< >Aa~ids at I~:rt :.
~r Columiasion aspires-,_ Ja a 15,19 b~
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