HomeMy WebLinkAbout1646Declaration of Domicils and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
~bo~ ~ 27 X246
4* T.aein COUNTY, FLORIDA: ~~ ..
This is my dsdaration of Domidie and Citizenship In the State of Florrida itiallT +t~[71U~.1fiRAdaY in eooordanoe end
in conformity with Chapter 222, Section 424.17, Florida Statutes.
___-- Ilex Tork __--
1 wss formerly s legal resident of_____-~~- --- ~~' mat `
_2~7_~4t~d Street __-. However, 1 have changed my domidle
and 1 resided at _____----- --------------------------
(SM.N and t~u.abar)
_____~_____ de of
to and am and have been a bona fide resident of the State of Florida since_ 1$te._____________ Y
__-. 19__1, and 1 reside et __-.~~? ~~F4~'_o D}"1oe --____--
------D~eceeabe~---------------------- p~raM .na M~mbari
Port St. Lucie
------------F-~.L.~~a]C.Ca------------.~~__ 3t~_.lt~~---------- ~MY• Aida,
-- t~M
and this statement is to be taken as my dsdaration of dtizenship, actual legal residence end domidle in the State of~Florids.
piwrt hares any pariNnnt fact. wd. a. wM d propat1l a bwitnM, a ralYq~saha~ of ~Pbr~- n fo.mar dbmWla,
ranavai of family to naMr domic{{la, purchna of bans. a1cJ
getabliah 8eaidency
f•• l
1U1 .~ h ~• ~rnn. ~ ;
~~ ,, .~.~.7.
AND RECORDED" . •,°•.
~1
1961 JAN 11 AM N: 09
ROGER POITRAS. CEPK
ti, IUCIE COUNi~F~681~~
I*~'y
1 FURTHER CERTIFY that I will register at my local sddress when the registration books reopen, and comply with all
other requirements of a Ipal resident of this State. `-
IFURTHER CERTIFY that I have fl0 intention b refum t0 my forfr~sr domidle, and i intend to remain in
...,.;......,: ~ t- _$tea_~.~!- --------------- County Fbrida
.~ ~ : e .~ i ~.'~,,~::z ~ Rosh tl 11TidoM ------------------
-,..
• • ` _~--------~~-~-diY ~ _-, 19_62
Swwi'l !o and wbsuibed before nle -------------
----- ~ ~--! ~-~--- - gRCUtT COURT - -.~_-..-~~~ Pubik -----------------
ROGER PK~IfRAS, _
lM M w»wi~i iti ~~ ri_ etfMaM ~ vlh d«t~ Awls taws, W dY~q .ry Tin AiNrawf
aa~eo, rr. ~.ewea