HomeMy WebLinkAbout2751
1ti PACE601
--. .
Declaration s bf-lI~IDe' FldAd
.\.
dual
Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
----St_! ucie...-COUNTY, flORIDA:
This is my declaration of Domicile and Citizenship in the Stlte of Florida that I am filing this day in eccordance,
and in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was forlTl4!!-ly a legal resident of
Thomasville
. _Georgia
cse.te)
(City)
and I resided at
514 Young _St~eet
lSrtMt Md Numbe<)
However, I have changed my domicile
to and am and hive be-en a bona fide resident of the State of Florida since
17th
day of
l-larch
,19 61. and I reside at
408 South 39th street___
($IrMt Md Numbef)
Ft.Pierce
St. Lucie
County, Florida,
(City)
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State
of Florida,
(I.....r her. any perti.....r fKh. ....,h .. .... of property eM' ~, eM' t.llnquw-m of empIoyn.nt at *- doonici...
'_al of family ro ...... domld". pur~ of '-"e, etc.)
Entering three children in Public Schools
THOMA':> BUGENE RICHARDS 16yrs
KENNETH A. RICHARDS 14yrs
GARY DONALD RICHARDS 9yrs
." ....
, ,
~. -.. . .
\ ,'-' I I c.'
975'72
',-,' :.-;;:,~;<. ~'<.~;~;\
'- :........-. ....
.. ; "" ... .. \ .' ~
flL:~ .r- W1 f,:C~".lE\l
"1 "11"
I" ~frClI},I. A'~{(JIfj) .Jl,.\
!" :\UG 23 A~IO: '1'\
."'\" "w
" .,\ ". .
. ~;.: . .
r-' ,
" '...
"... ..........
.~.:' .' f..
....
..' , . r f'\.
$ L LUCIE CUUHH, t LOi\ilIA~
I FURTHER CERTIFY tha' I will register at my local address when the registration booh 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
ST. WCrE
County, Florida,
(City)
permanently. -
,) \ ... f'r. ".
^ r"., ..... '. ~ ",.' '.
\.' .'.. "-' ~ -
.' ,,:~,) :. . r'.. '"
\.I . .'.. l_.iI
: :... ".J
:*:_~_ '.if:
"': ~- . -. -
: _ .A 00. . . :. .:0 ~
'_ . " .,..'.. .-' ,,' "01
'-.~tI~;j"t~ ,tV}' "j,scribed before me thi!>
". c"
R IvA . _ct., J~ l- l.-
(......)
RHODA L. FARR
(Add....)
AUGUST
, 19
61
2Jrd
day ot
" ,
Notary Public
D.C. My Commission expires
IT.... ec~ ill .....ic... .... eritfiaal filM willl CIerIl Clrcwlt C~, .... ...... ..... Yn ~
.,.ca, n. ".E..el!: