HomeMy WebLinkAbout1196~ J. Ypo?•
ST. tuC1E COUIITY~ FLA.
Declorotion of Domicile and Citisen~ip
TO THE STATE AND COUNTY TAB A8811ZS13O>8.
8t . Lua i • ooUrPrY. FIABIDe:
This is my decLration of Domidle sand (~tissnhiD in the State of Florida that I sm dlin~ thin daY ~
accordance, and in conformity with Chapter 228, Section 222.17. Florida Statutes.
~a~ f~cr2; a legs! resident of - Co1Qn#~41_ H~i_.g~ts..____~_~ --__ ~--~T.B1.~
tpa) tstst.)
1005 benaington _l~s - ' -- '---_'-'''a
and I resided at-__- -. ---- ----- ------- ----- --- - --~----- --------------- --_-.. However, I have cns-nSvu wy .~.~•••-~
;;3treet s~ Nee?L~-r)
to and am iii have bc~n a b:.Ba fiCla rnsident of the 3tste of Florida ainoe - - 10----- - --------_--- --__-_dy of
Yaroh--------_-_-- - ---____-, 19_-~, and I reside at_-~__S Boo_ 876-7 Lekswood Part _~----
----------------------- ~ -- - _ cstret .ae x~.b~i
Dort Pieroe_ _ St.Lnoie_____~-_~______County, P7orida,
------------------------------ ------
cati)
and this statement is to be taken sa my declaratioa of dtitenehip, actual legal residence and domicile in
the State of Florida.
(l~wrt Zero any pertinent 'teats. suet as sa4~ DroPn~ of ~ #~~ni~mont a! oonPlo7m~et at
torsser domicils. removal of iamib to new e. p
Homestead
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918
F11E.0 ANO RECD~!~ED ,`C
-~ , ARK
.~;~R POITRAS' , IDA
i~:,.111C1c COONt~.
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-- ....,.., .~ _ ~ . :» •.+e. _t mp tnr~tl rddreaa when the re>:iatration booica reopen,
ir-i.iis-~1`s.•r:n ~~ri::.r ~ :.:::,. s z_u ~ -:~----~-
and comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
Fort Pierce 3t.Lucie----_-----------------_---__-_--County, Florida,
m----------------------------------- --------------------------------_-____-_--,
(tits)
permanently. _ - t. -- -- - --------
- __ _ - (Name)
William J, ore
- - ------------------_-____--~Addreea) ------------------
Sworn t~ and subscribed before me this--- 27 tb~y of .•• ' 3.5 L ~ ~ , •
January-------------• A. D. 19_ 61 . _~ ~'~ ` ~ ~~. ~ ~ .,
r.
Notar7- Pablie Slide of Florida at limit - .' - 4
Jan 15y1~____ ~ %~~•, .'...~~,~~.~\
My Commission ezpires__ ---- -- "~ ~.-, ~,.
pled with Clem CireviL ~d duvlkste with Tax Assessor)
fTo be ezeeuted in dupiieab and orlaitul
~•;~~. ra. - -
• ' ~ ` ~ 9i _
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