HomeMy WebLinkAbout0444
Declaration of Domicil. and Citi~.nihip
TO THE -5TATe AND COUNTY TAX ASSESSOR.
"
iJUUK
1/ p~438
S..-t.Lucie
ST. LUCIE COUNTY. rLA.
4~.""" '._ ................",..
COUNTY. flORIDA:
Thil II my dedaratlon of Domicile and Cltll8t\$hip in the Sta.. of Florida that I a'" filing thll daV in accordance.
ahd In conformity with Chapt., 222, Section 222.17. Florida Statutes.
I wel formerly ~ legal resid4tnt of.--K81- 'tlea~___.._, _ .__ - _h ' _ - ____ ---,-- - --. - ___Florida.----..--
COy) ($tete)
and I reaided aL_____Ktl'OJltY-.IL1.rl1..l0r..fw-,--------..-..,. However. I have changed my dc;mlclle
..... - ~
to Ilnd am and heve been. bona fkM r4Kk:lem of the St_ of FIorkJa IInce____,__.lOt.h--------------day of
-----Ilugust--------...-----------. ~9__61, and 1 reside at ____1:.~~~_~~~J-----------'----
Fort Pierce Florida St. Lucie F Id
___u. ___ ___'__ ..__.., _.._______________._ _______. ________________________ -"...------- County. lor a.
COy)
and thla "atem4tnt II to be teken IS my declaration of citizenship. ectual legal residence and domicile in the Ste..
of FIoridi:'
(1-' !we ItAY ,.m.-t f.... IUCh . .... of ".,.rty or IMIIMN, .. NIl lIJJII.........lt of ~.lMAI .. ""'- d0MlclIe.
__ cf fMlltr to _ ....... pul'dw. of ..... -.)
Entering Rebecca K Schaff in
Jrd grade
.
;"
. .
.-.' .,.
I FURTHEIl CERTlFY IMt I will rClgls.... a1 my local addr... when 1M registration ~ r~, and CIOC'I\f)Iy wI1h
all other ~.. of . .I_~ of this State, . I
I
i FUlTHfJt aRTlFY thet I have no Intention to retum tG my fonn., domldle, and I intend to NrI\6In in______
I
"
j'-t..P-i-er~-..--------"---":'-"" ,
-..----.------ . . (OIyt .
~,
------------.St..Luc1..-------- County. FIoride,
~~_J9~~-
Mre. Don~ Graham
----------------------------------------
~) ,
1124 BoatonAve. Ft.Pierce,Fla.
Sworn to and lllJbscrib4d befoM me this. _ .".jl~t. .:- day of ~_ ___ ___________s.pt.embc-, 19___.61
\",~d . I'll ~
ROGER POITRAS c '~. -<'.t. -; 1 ,:'. J ~"""'_ ...~ (. A A J ..,.,,/l
_ '" '\.J ~f~ b' ~ ~ ...~~~
___..______..____ .______ ,..___,_ _ -Ii; . - ------- ---------
ROGER POITRAS. oar. .t~ . \~ ,.. .---- . -N;;;;Y '~blit
, ig. 't' 'i ~PtIbliC. S.tllt* of FIorid3 at Lar~
1 ': ~ ''.i; <0 ~ i ~ t %4-
ey __' ...______.. _____.__.. _~:::-__ > : ~ CommIUIQn expires _ 9!:l.s;,~~'!.t..i-tni,)".r1-.-.
'",'.:; \OJ .. . : f;~ . n ~l..~,t!tl:' t.~ (IT'" Y
,;<o-'-...~f. f' ' -~-- 1'1
./
1
'1