HomeMy WebLinkAbout1659Declaration of Don~'~e aid Citizenship
~b~l~ 27 r~Z59~~ .
TO THE STATE AND COUNTY TAX ASSESSOR, .
3t. Lucie ~~, FIORIDAt~ ST, li1CIE C0l1NT1~. F_LA.
This is my dedaration of Domicile and Citi~ar-shlp In the StaN of Florida that 1 am filing this day In aooordana and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Mat>-hin6ton D • 0 • .
was formerly a legal resident of______-~-_ ~ --------• ------- ------'----
1205 t~l}th P18ces_S. _g _ _: However, I have changed my domkils
and 1 resided at --------------------- ---------
(St.•.t end Nuw+b•.)
ro and am and have been a bona fide resident of the State of Florida :lrtce_____________26 -------------- ~Y of
March ____ ~______________, 19_____, and I reside at ____2501 Dic]cena_Street ___
HOY't Pierce St. Lucie __ County, Florida,
and this statement is ro be taken as my declaration of citizenship, actual legal reside.-xe end domicile in the State of Florida.
(IrgNt here •ny pertinent fac», wch a sale of property Or buaLMaa. a relinquulrnaM d~'~mploymerM •t former dankiM.
removal of family M new domidM, purchew of tame, ettJ
Applying for homestead fund ~itdox btimefit
~•aJ
lU V'~` r- '`'~
i ~e BOOK =~,~ : ~ t ; ~ -:~ _, .
N . Kf::~..,,~: .
1961 JAN I 1 PM I: 33 0:. „~.,-~ •
,, , ,~ • . _
ROGER POITRAS, CLERK •:.........
St. IUCIE COUNTY. FlORIOA M ,~/
n ,ur~C
I FURTHER CERTIFY that 1 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"FHRfiHER ~ERTIFY that I have rto intention to return ro my former domitile, and 1 intend to remain in
-
'~.~ ~.-.
F'bl't, ~~ert:e~<- --------------Ste I+LCie---------- County, Florida,
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,t ~.
• : ~ . , 1
. -- - Mr~~_~iioifrud_$elt>tobeil>~bc __Baumba>+1[
c~aar.eel
~l- y r~-------------
Sworn to aril subscribed before me this -_____-- _ ____ _da of ._ ___-- ._-:-..hALLA __, 19___ ~2
~~~OGER POIT~~sCLGE K C RCUIT CCIURT
By - _ - - ---- - -------=-- D.C.
--------- -----
---------Notary-Public ------_
My Commiuion expires---------------------------
(f• M eseautd V ~Yub aw/ •riahral Itterl ertMr Clerk Cwswll C•rey ew/ i~YCeM .ri- Tex Aeeeaeed
~_
•~eo. ter. •~twee