HomeMy WebLinkAbout2489~o ~ - 4 518
Declarotion_ of Domicile and Citizensl~jRuclE COUNTY FLA.
TO THS BTATE AND COUNTY TA8 ASS888O8,
s ~ ~ ootJNrY, Flox~s:
This L my decLntion o! Domicils and Citi:enahip in the State o! Florida that I am !!ling this day in
accordance, and in conformity with Chapter Q22, Section 2?~.17, Florida 8tatutea.
I was formerly a legal resident ot_ Fort I~nd'eirdal s _~ __ Tloacids_..~__...
~' ~ _ tstaa)
(cam) _
and I resided at__________3~~-~x`___~ith T!~!!a_~----------------------__-. However, I have changed mY domicile
(StsMt and Nveub~)
to and am and have been a bona fide resident o! the State o! Florida since----.-------1-_- ----------------------day o!
snd I reside at______B ~~~ Yates P_ar_k _ ----___..
---•„](~ ----- --____.__. 1~----, -J (Straat sad Nnmb~z)____ _-___----
Iae t PiArae ~ _~ - _ St. Iucie _` _____ T_county, Florida,
__.___ ((fib)
and this statement is to be taken as my declaration o! citizenship, actual legal residence and domicile in
the State o! Florida.
(InMrt ban +ns vartinant facts, arch a• sa4_ o~ yroparti- o: ~ ~.o~r~lla9ataLmaat a~ ~mndoymaat at
forma doafeil~ ssmo~al a~ lami4 to nsw domie~. pare
GLaising hosisetead prior do this ties in Fart Lauderdale.
82636
FIlEO AND RECO DEO
I~ OOK
1961 FEB 24 PM 3:50
ROGER POITRAS. CLERK
ST.LUCIE COUNTY,l=LOR10A 7
r
I FUIiTHEB CERTIFY that I will register at my local address when the registration books reopen,
and ooonpl~ wfth aU other requirements oZ a legal resident of this State,
I FLT>~THER CFIiTIFY that I have no intention to return to MF lara~ar domicile. and I intend to remain
~ Farm Pierce ~~ 3t. ~ .! Ltaie Connor, Florida,
P ~Dib-)
)
Swo!'a t0 and subiaril/ed bdaev me thi/ ~ dq ct
>:.b~ rs ~. »: i
Ro=er Peitrasi Qer)< a! Clssnit Court
_ Jawsll L. Sdth
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~w.w ~saN1 Cw. llt~t Gt7. fM. ~ .