HomeMy WebLinkAbout2542
It,i /,I! ~j!J2
Declaration of ~~i~: f=lI:'d Citizenship
.. . - . ..-.--
TO THE STATE AND COUNTY TAX ASS[~OR,
St. Lucie
COUNT'Y. flORIDA
ThiS is my dedar alion of Domicile and C.tilensh.p "' Ihe Stelle of Florida that I am 'filing Ihi!. day HI tH,cordance.
and in conformity wilh Chapler 222. Section 222 17. Florida Stalutes
I was formerly,) legal residenl of
Asheboro
1.OJ':,11 C;lro~inq
(~,.,..1
((.ry)
and I re!.ided at 1,)09 ;3rooklyn ~trert,
(St,~eot .nct Number)
However. I have changed my domicilE'
to and am and have been a bona fide re!.ident 01 Ihe SIole of Florida Sll1ce
1st
day of
J '.lly
. 19 61 ,and I residt, ."
;>7:'.'1
"
J.
25th ;)treet.
e;"....1 .nd Numbf',l
Ft. Pierce,
lCiry)
Jt~. Lucie
Counly. Florida.
and Ihi!. stalement i!. to be laken as my declaration of citizenship. actual legal residence and domicile in the SIale
of Florida,
(lnler' ....,. .ny pertlnen' fActi. such ., lale of properly or buliM'\\. or rel1nquithtnen. of t'mploymen' al former domicile'.
,..mo".1 of hmily ro ""w domicile. pu.chue of home. .lc,I
Snterinr, .J erry David Reeder in E1em~ntary Jcho,)l
.........
\,l....!
f\LEC I~.tm ~~CG~OEO
, ,j\\',' ~ (~~~n'IK
\H S)~\Ut)Lo~ '-
~\l f') r" ',' r.q
\~ r i\UG \) " " '
~ I. lUG \ l Cull U i t t L lJ " hi :'~'t \\
"
..~
-;:J '.,
':~ -":.
. ..
'.
I FURTHER CERTIFY that I will register at my local address when the registration book!. reopen, 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 in
Ft. Pierce
(Cityl
St. Lucie
County, Florida.
permanently,
-f '
6~ ..U '....
()
.' --.--/J _ -:~' , ,
(N.....)
... (' I ~
2729 s. 25th St. Ft.?ierce.Fla.
(Add,en)
:'
, . ,. .t'
. -' .' J ."
:';sWorn t~' and' ~u~,cribed before me this
day of
August
. 19 $1
l~th
() ".un ROGER. :POlTRAS " ' '
r> ", ROGElhPo.ITRAS. CLERK CIRCUIT COURT
~{l~~)\(~ 0.(,
IT. ... ..ee...... ;. "vpliut. .... eri9iAel 'ile.. with c..... Circuit C....., ..... ....plic... with ,.. ,.,......)
Notary Public
My Commission expires
."CD. ,.T. ~II:IIICE