HomeMy WebLinkAbout0856
C\T. tUCIE COUNTY, fLA.
Dec!orat:on of Domicile and Citizenship
TO THE STATE AND COU1,(!~- TAX ASSESSOR,
Sta Lucie County COUNTY, FLORIDA:
--
Thia i3 my declaration of Domieile and Citiunahip in the State 01 Florida that I am filing this day in
accordance, and in conformitl with Chapter 222. Section 222,17, Florida Statutes.
I was formerly a iepl reaident OL___Uhy'~~.g~.~~~__._."UhUU____h______:::'______."_uu, _hu_.g.~.<?E_~~_;"h".____"hn
(~ty) (Stkte) ~
and I reaided at_.4~.~P~.~.l<.._1..u~_~'~_~_'~"h'h'__'___"__'''''._'.. ._.. However, I hlilve changed ~y domicile
(Street &1ld Number)
to and am and haye been a bona fide !"e8ident of the State of Florida since... J... .. ........ day of
h..M.ar.dJ..____mnm..___...._uh..h.._h.' 19n.~~., and I reside ut..u__uu...2,!!.~",~_!.~~~~u_~~.~~'~__'_h"_~_"__"___hU'"
Fort Pi eree St. Lucie (Street and Number) .
-n-.-.u..-_________huhhn_____________u_________., _ .-----. .--.--. ---------.--....-..-. __....h___.___. ___ _____ ..._.. County, Florida,
(City)
and thitl statement is to be taken as my declaration of ~iti.zenship, actual les-al residence and domicile in
the State of Florida.
(1naen hero any Jl'!rtinent t..ct~, IUc:h U aale of property or buaineu. or rellnquiahment of employment at '
tonner dO!DieUe. nmo'nl 01 family to new domicile, parch... of home. etc.)
....
Entering RobertMichael Gay
" Stephen Lee Gay
" Ruth Jeanette Gay
in 4th Grade
"
in lst Gaade
93236
FILE L'.4 1/
'.: D fErn!),.
{lI ~ ~: ~ iJ;!; 'I. D7
Jr,r~~'-):
"... o. .. _I'
I _, ..,.....
(' ~ 0 G [R p '_?'!; E
"j : !,~, _ 0 f7 Q /-
. ..' . -:,. ,. ~ll"~~P rLrr,y,
, . , "y;;
. , ,
..;
. ",.,.: '..~:'; ':'.': I. :'., .
.' .,'.' ,\;:.. I'. ",
..:"' (.,\~,'~',.." ....~...:~ ~4: '~,
..=~~:'~~":::. \ .. . .....'-:~..
- ..-:. . .. .:
~. ..... ':"
. -,. ...'"
"
'. ,
. ~. -
~ ,," ". . .# .'
......,...:.. ..... . ~.. .,' .:: '-. .,'
.~'T r"~... \. .<........
II. . \ . \'
. I"" I....".
I FURTHER CERTIFY that I will register at my local addreu wh(>D the reriatration books reopen,
and com~ly with all other requirementa of a legal resident of th.ia State.
I FURTHER CERTIFY that I have no intention to return to my former dumicile, and I intend to remain
Sta Lu~ie
.--,
iIL-.-______.F_ort.-I:1JU:~
( Cft7)
pennanentJy.
-----.--__COunty, Florida,
~__4~ ~_ fi~~-r__~--__
(N...')Q-,
Robert Lea G~y, Jr.
.------------------
(A~)
S to and . blcribeci beiore me thia 17 day of ' ",'~"'~""':i.'-'ir#.
worn u'" . . ---------- 6' " .,.<" \.\ H T '. . ;, '......
March 1../ (.0 .,..:.....:" ....
---__ A. D.19_. .' . ." "... /) ':. '..
Roger Poitras, Clerk 01 Circuit Court .~.,~....:.:.:.:'.:;61_~~ ".:~,>
H7-~~-~::=~~ L4 J <t.B;.f!:';'.rf?'
T:~ "" ~ ,~ .'
(To ~ ueeated 1ft dupUea.. aDd orl,uw ftltd wItIt Cieft (1J'CIJit C.ourt. aDd ~.:JJ.tJt. If'i.x AuMaor)
Re_ ~HIl" c... Aut elf,. I'ta.