HomeMy WebLinkAbout1148Decla~otion of Domicile and Citizonahip
o• ~. 26 PACE448
TO THE STATE AND COUNTY TAX AS~SSOR, BOCK
$T. LUCI i_COUNTY, FIOR),DA: ST. ~UCiE CCUN7Y+ FLA.
~ in aooordance,
This is my declaration of Domicile and Citizenship in the StatutesFl~~a that I am filing this day
and in cpnformity with Chapter 222, Section 222.17, Flond ALA.
FT. PANE =------ ~~ - ----- -
-------------------
- ------------- -- taM -
1 was formerly a legal resident o -------- -
However, Ihave changed my domicile
and 1 resided at_ _ RT .- - - - - _-~~ ~ taw~l
to and am and have bean a bons fide resident of the State of Florida sin17._ -- 2 $th -- -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __day of
S. 33rd St------------------
DECFI~IBII~ 19.61 , and I reside at _ -------- ---- --~
~_______ST._ LUCIB_CO__________ County. Florida,
=-- ---F-T--_PIERCS _----- -----------------,
tCtirl
and this statement is to be taken as my dedaration of citizenship, actual legal res'~denoe and domicile m the State
of Florida.
(IrwA t~.r. any PK~~ f~• wcA M ..1. of proPKb or tw.YrM. of nUnquM~^+ d ~~ ~ ~~ do~nitq..
r«nwal of f.n~lly w nrw domklM. pu~dwe of haM. ~uJ
Eti1`ERING TWO CHILDREN IN PUBLIC SCHOOLS
TERRY LEE COLLEY ?yra
KAY REBECCI COLLEY 6pra
..~:.... 1014 R~EC ~ -
~ ' J ~ ~ ~ ~ -'+ :'-~Q;~ ..:~ 1962 JAN -2 ~ B: 28
- ~ ` ~ '' '`- OGER P017RAS. CLERK
•• ~~-- • ~ ~~ -•~ R fIORIDA
~' ••• ' =1 ~~ ~ `~ f St. IUCIE COUNTY.
' V •t t f •.•6
~'}; - . . ,r~ ~^ and comply with
• '•' •'`"~`'J+' ister at my kxal address when the registration books reopen.
}~R~tfER• CERTIFY that I will reg
all otFter requirements of a legal resident of this State.
former domkile, and 1 intend to remain in____-~
I FURTHER CERTIFY that I haw no intention to return to mY
-----~.~.:_~~~--------------- Cou^ty- Florida,
- p.rmanently.
_ _ _
......
.• • • '• 1~. J . B. COLLET, -JR.------- -
.~.
h~'tV'v'',r ~1=
. r ~-~, ,~.~ ~,~ before me this- -- - ?xid----- daY _JJL>'ll1AB1------------- ------ ----
~•:.`~" ./ ~~`~ / =~ ,i ------- --=-- ----- - -------------Mary Publk -----
. --
. -
.. =~ • ~_ - '~ - CLERK CI IT COURT
~.. ~ •.
~ .,,
~;t..,, ~ * ~ ~ _ D C. My Commission pi -------------
,. ,,,t _ _ ---- - ~ ~ ----------- --
`1"~ . Ct~wM ~owi +~ +Niw~ .~M~ Tam Aw«o.d
~, ~, . Ra ~~~ t. ~~ ~i wW !/s/ .rte Ctrk
,~' - '
voo. n. nawoa _-- _ --
• - - -1 - -