HomeMy WebLinkAbout1280~b~~ zs~~ESSO.
Deciarotion ofsth~h>~,~il~da~itizenship
TO TIi>d STATE AND OOUNZ'Y TAX A$SE8f30R, -
S t . Zuc i e -COj1NTY. FLORIDA = - .
This is my declaration of Domidle and f(yti:,ansbip in the Sbte of Florida that I am llling this day in
accordance, and in conformity with Chapter 2PZ. Section x.17, Florida Sbtntea.
I was iormesly a legal resident of _~ah1~$~_ _r____._________, M_______ ~h~_._~___-.
(da) (ffaa)
end I resided at_---_ --2.42-_ wfa$~_I~i~et~.X-.5.~~8~---------------------. Ho~re_ver, I have changed mY domicik
(Sttwt sad Ndsabir) .
to and am and have been a bona fide resident of the State of Flol'ida aince____-het-----------------------___dsy of
_ , 19-~}., and I reside at-_ 1114 Colonial Road _____-___~__,
------------BC~'8~e~--------- ---- (Strut aDd Nnmb~s)
._.~~~.I.uciAounty. Florida,
(aa)
and this statement is to be taken as my decLration of citir~enahip, actual le~sl residence and domicile in
they State of FlorWa. ~ - -
oft i~ to ~ midi. van~• ~itr~~uisLm~ai a~ ~maplo7mwt ~t
Establishing residency
101536
F~EO ANO RECOROEO
IN t~B00K
1961JAN -3 PM 2:25
ROGER POITRAS, CLERK
,,.,~:.~r: tuc1E c~o~u~tY F~oR1oA
,, ',S t ~' ., . ~I~^~
.. ,. -
I gpRTEER CERTIFY that I will register at ~ local address when the registration books reopen,
and eoanply with all other regnirameats of a lepl r+esldent ci this State.
I FIJRTSSR CSRTiFY that I love no iatetitlon do retnrn do ~ former domicile, and I intend to remain
~ Ft.Pierce ~ St.Zucie
Canty.lP7orWs,
Pte' fCks). - .
•
- ~ f~i,~ $. Stookey
-Sworn to and anbsesibed bdafre f~ tiit......_3r.~ oft s -~',~,• ~~'~~ •'.`. 3 3 r, ~ ;
A ~ D. lal...Rf+.?i.~ C,.. .~ ~~a+. ~ s,^eMA6 i
Nahes >lr1iM r9laie et >rliefia s! ~ : ~.-. < _ .° ~~' . ! -~
NOti ht01i stile 01 ~IOf1d11 ~ .'rr. J '-,?14 , ~_. .~ 4 ~.~ ~. >. ' -
„-. irftl 71ut ~iiiii~e)
(Yti M ~ooiiMOM fie sf~f~iia iini eetl~d !iM ~ Qf~,lt CiK~ :. ,.
.r... e...a a~, swwta . ciar. sl.. - '"`~ -s -', .
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