HomeMy WebLinkAbout2302- - ~bo~ ~ ~ 4 X331
Declarotion of Domicile and Citizenship~T ,,~~~E couNTr. ~~~.
TO THE STATE AND COUNTY TAB ABBB~St3OR,
ST. LIICIE COUNTY, FtoRIDe: -
This is my declaration of Domicile and Citisenahip in the State of Florida that I am llling this day in
accordance, and in conformity with Chapter 222, Section 222.1?, Florida Statutes.
I was formerly a legal resident of_ _-____-- («~)----------__.._--___-~, __~_~.A3gIA--.
and I resided at__-_--327__ 3emi1~;~.,g~.i.-_------------------------------- ------. However, I have changed my domicile
(Btswt and NumMs) -
to and am and have been a bona fide resident of the State o! Florida since-__._-_ _30~k_-.-_-___-_-______.day of
OctobF~r ______________________-__, 19_60 , and I reside at____510__s~__7~~~--_------------------------
-------------
---------------------
------- (Strtmt tud Nnmt~r
Fort Pierce ~ St . Lucie _ _ ~m,ty, Florida, '
_______-_ _-_---___-~_ .______I -____-______~__ -__--__-_~-_--_- ~---_
(~'J )
and this statement is to be taken as my declaration of dtizenship, actual legal residence and domicile in
the State of Florida. -
forma: dorm ~i r mo~ a~1 o't tami}7 to iww domicllo, p rehw a or~rolingnLLmoat os omplorm~at at
Rae A. Staudt is the- aus~-i~or of one Elmer B. Staudt end
Rey A.Steudt, his dfe
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X2522
FILED ANO RECOROEO
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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 reaIdent of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain
~----------FQ~t---P_1e~4--------------------------------------------. ---------St-e ~~~Q--------------------------------~~~• Florida,
(cc>~)
permanently. ~~~ ~ ~
----- --------------s------- - - - ----------------
(Nta~)
- gee A. Staudt
:~a - -- - -- (Addreu)
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Sworn to and aubscribed.~>re tne.*h;!.- -----~sy of
•.
~e.b~uaryr-----_ j=; z~-----~ t . -~, D. 19 81.
My Commission ezpiree: ~ ;;-~~ .•~-_~-,. -
:-
(To be ezteuted in dnDl~iti'Lad original Bled with Aort Circuit Court. tied dnplieato with Taz Atutuaor
R nwro*+ Suooi~ c'o . PLnt Cftr. Fla.