HomeMy WebLinkAbout2808
16 ~CE658
Declarati(j)1\ rmcDClDbIdWl....d
. .. ,.. ~ ... .~...., ...........
O. i.
~O~l
Citizenship
TO THE 51 ATE AND COUNTY TAX ASSESSOR. ~
_, _.__-S.t....Lw:.1e.-~COUNTV. flORIDA:'
This is my declar.tion of Domicile and Citizenship in the Stlte of Florid. thlt I .m filing this d.y in accord.nce.
.nd, in conformity with Ch.pter 222. Section 222,17. Florid. St.tutes.
I was formerly a leg.1 resident of
Lou!ri!.ll.,
(City)
Ky.
(St...)
and I resided at
4913 Seville Dr1ve
(StrMt ...d Numbef)
However. I h..... ch.nged my domicile
to and am and h.ve been a bona fide resident of the St.te of Florida since,
6th
d.y of
--
July
-
. 19 61 . and I reside at
21g Garden.. Ave.
(Street and Number)
Ft.Pierce
(City)
St,Lucie
County. Florida,
and this st.tement is to be taken ..s my declaration of citizenship. aelual I "{la I residence and domicile in the State
of Florid..
(1_ her. .ny petti.....t f_. ouch.. .... of property 01 Mlneu. or ,.Iinqulahment of empIo,-ent .t tor..... domicile.
.--.1 of family to new domicl... purct.e of '-'e. etc.)
." \:1 ", ,
Entering Barbara Jean Seitz in Junior High School, . ,.\::.:":''':-:::::~i'',
~ ~ [.'; i;.' .....: _'
., ..... _.J': J..- .
:. =:).... ~.. '" .......... ../- f/J
'-) ..',:..,l~~ ", :.-:'...
I "'. ..:.... .0'- , .
" .., J'J' I') ..'
'/. .,. ....
Entering Carol Lee Seitz in Elementary School
97606
FllE~ ~.ND RECORDED
IN~~~OOK
I%~ nUG 2:1 AM 10: 16
J
t\.~~L:\ ::;iTRk:, :l~:-:;-:
Sl. LUCIE COUNTY. fLOkl~\\
I FURTHER CERTIFY th.t I will register at my local address when the registration books reopen, and comply with
all other requirements of a legal resident of this State,
I FURTHER CERTIFY that I "'ve no intention to return to my former domicile, and I intend to remain in_____ .
__ .It...f.1erc'....______ ---
(Oty\
___ _ __~t..J~\l~~'_..
CountY. Florida.
permanently,
._~-.-s-e6'4...
. . , ~. .,
r r, "" ',. "
. " ~ '"
, " .., 'c.'., . ". ' t,
.. ') . -. . . :'. . ".- ..\,~~
(, ,~ ,,\..,. .. ~ ~. 'J.
&' ; ,:' ". , ': -' ;:" -
'~ u \~. to ~:~ before me this, 2~- '
;,..., . '...~...:.::cb.:
,'.,~ ., ..,.,:.. ~ POITRAS
: :,::~:,~,,~. - i. -u;fdGEi~PoliiAS,-ClEiiCiRa.jiTcooiT- ----
h:/, "'~,:,.,~,,,,,'..,~ ~ ..
~>~ ..:~_~~~----------- D.C.
.. J..2.13._G,e.rJlm. _Ay_e___rt...P~_er,C,4t. _ ~la.
~)
- day of __ n----hgua-t---------- ____uI 19--61
Notary Public
My Commiuion expires
cr. ... ___ .. ...... ... ....... ... ... a.fk CIIaIt c-t, ... ...... ... f_ ~
.PDD, FT. PI..D.