HomeMy WebLinkAbout0876e oK 2 2~8
DeclorotionSOf ~o~nici~ef and citizenship
TO THE STATE AND COUNTY TAX ASSF.SSO&
ST. LUC IE COUN'1'Y~ FLORIDA:
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.
• ------------------ ----- MISSOURI----------------
I was formerly s legal resident of__ I~jIP±i~'H~ -.-----~~ty) -------------- (stte)
snd I re9ided at_ ~t~ ~ 1 --------------- - - - - --~------------ - _ However, I have changed my domicile
(street sad Niin::+~) ~ 7 }l. -- d=3 t
to and am and have been a bona fide resident of the State of Fioritia si;-~c -
Tan~~~ty ,461 Rna i reside at.__--_190__Celestia Courtt__Port_St.__L~~cie
- ($treet and iVUmoer~
Fort Pierce
S t , Lucie _ _County, Florida,
(its)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida. pp yy
former domicileyromovalnof famil7 o new domeile. ~nrcha,. of ho~o~r~linquishment of emyloymeat st
..~1V~ty
FILED A~1D RECORDED
I[•C~ ~1S' 7~ n.. t~. n~.
R~::~4 POITi=ct~~. ~`~.
S.. LUCIE COUtiiY, F;.~
.
_ G.
-~!• „~
r; •,
I FCR,TIiER CEIZTIF~ t pt I t~va no intention to return to my former domicile, and 1 intend u- remain
in____-F~rt<Pisr~~(c~tii----------- ---------~
....-.. .
.,ut~i.. 20t)flda of
Sworn to and subscribed ~;._____. y
~~~* ~ - ~~'•'~li~D. 1861_.
'°7"
~y Commission
(To bt ezeented' it ditbi
fbw+w Baoots Cw. Plant Clq. Tla.
61sd with Asr1c Cireait Court, sad duplieate with Taz At~sssor)
i.-- _ w±zT~T+~.=~rt~.-..R ,E!~,•~'n~ ,~:ig-ac: r -......
_ i'._ .. _
I FURTHER CERTIFY that I will register at my local address when the registration books reopen, ,
and comply with all other requirements of a legal resident of this State.