HomeMy WebLinkAbout1040.. , -. -,y - -•- -- -- w 1
~~.v ~"'a'i.
o. R: z - 439
• - 800K
Deciorotion ~ of Domicile and Citizenship sT. LUCIE COUNTY. FL~I-.
TO THE STATE AND COUNTY TAX ASSE330R, ~ ,
ST . LUCIE COUNTY. FLORIDA:
This is my declaration of Domicile and Citizenship in the State of Florida that I am filing this day in
accordance, and is conformity with Chapter 222, Section 222.1?, Florida Statutes.
I was formerly a legal resident of___,--Parmd--__-- -------=---------------------------~----------___-~ --__Ohio_-______-____-__________--
(City) (state)
sr~ T rwAided at 6250 Broadview Road -_ -_- - _ Ho~6vever, I have changed my domicile
(3trest sad Number) _
to and am and hive been a bane fide resident ttif the Slate of I:lerida si cn e $ 1Sth day of
December_____________ _______-~ 19_~y_-, and I reside at.__-_ltoute__~__ttox _`L~6$-`Ll__-Lakewood raric
- --- - . (street and Number)' _
FORT _ PIERCE--- -----------------____-- ST. LUCIE ' ' ---------.-__--County, Florida,
-- -- - (City) '
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in
the State of Florida. "
(ltuert here any pertinent tsots, such ss sale o! ropertyy or business, or re~inquiahment of employment at
former domicile, removal 01 family to new domicile, pnrehase of home, etc.)
. `~, ~ t.I•~ ~I,~n n~rnarEtl
.
.__
,
. -
~Il_C_U ,y~~u t~~.,.,.
.
~ ..
'
~ 1A
~
-
~. .
_
I FURTHER CERTIFY that I will register at my local address when the registration books reopen,
dTiu ~Gai pij' :With aii Gthci acyu3a~:T3°.:,Fw .^,f .°. legal resident of this StAtP.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
FORT PIERCE • ST. LUCIE -_-______County, Florida,
'n --- ---- -- - - - --------------------- ---------- ----------------------------, ----------------------------------,-------- --------
(Clty)
permanently.
-~-----~~~.~~_1~~~-~-`-----~~~ -stn-~.--------
(Name)
Rudolph tl. Abram
d~ddress)
Sworn to and subscribed before.me this----24~day of
_ ,
_ • -_.. •,
Janua ----r-.-y--:-' =~. ~a:--. A. D. 19b1----
------------- ------ - ------- ----
~ -. __
~totary Publl~ ~ to ~ Flmrlds it Ialrae
r/ ~f ,
My Commission expibe4~~;_-._._.._b~ ~~ 6 3----- - '
(To be executed ii1 dn~itastt, and oriR(ilaa Sled with Cleric Circuit Court, sad duplicate with Ta= Assessor)
a,,..-on Iiuuolc ('o.. Pbr.t t'Iff. Fia. 11 -
-0~_