HomeMy WebLinkAbout1809- ... r - - - - - ..J-- _ ---- _ .
Declarotion- a~~~~~~i~~ti~enship
ST. LUCIE COUNTY. FlA. - ,
TO THE STATE MID COUNTY TAX ASS65SOR, -- -'-- -- ~•..-._ -
St.Lucie ~,~~ RADA, "
This is my dedaretwn of Domidle and Citzzenshtp In the Sta» of Honda that 1 am filing this day In aaoordana and
in conformity with Chapter 222, Section 222.17, Honda Statutes.
was formerly a legal resident of_____________ChArle~.te~------------_---. -----](~_S+~T.a._____--
and 1 resided at -------------~'~-5 ~'~~-~~ RO~Id_______________-. However, 1 haw changed my domicile
itArf»t .nd Munb~ -
ro end am and have been a bona fide resident of the Sta» o~ Florida sinu__ ___ 2lat ___________-~ day of
-----
Riper Park-
-----------~-1 ---------------------------• 19__61, and 1 reside at --X33-SO-~#-~~-Otte--~tla-------
t3kwt •nd Nurwb.r)
~~ort Pierce
Kay)
3t.Lucie
County, Florida,
and this statement is ro be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Invert lan my p.rtirrnt f.cn wd~ n wb of property or trwM»K a nlinquLtrrrnt of Nnploynwnl N formes dankiM,
nnaval of f«raty to nhw domkfM, pwth.w of tan». Mca
Establishing reisdency
1U1~3`7:~
•:'~ .~~~ - ._-,_ ;, ~ : FuEO AND RE RDEA/O~pn,~~Yy
- ~ - - : -' ~ ~ 9~ ~ •:;;': ` 1961 JAN 15 AM 10: 16
.,-_ ~ ,.
-~ ~- ---f='~ ' F:' ~;; ROGER POITRAS, CIERK
• '~••'••~-.-.~• `: ~:= ST. LUCIE COUNTY. FLORIDA
I FURTHER CERTIFY that I will register at my local address when the registration -books reopen, and comply with all
other requirements of a legal resident of this State.
t FURTHER CERTIFY that I have no intention to return ro my former domicile, and I intend to remain in
p+pR1'PIERCE ST. LUCI E
Knr)
permanently.
------------• ------------------------------------ County, Florida,
Sworn to and subscribed before me this - ___15t~__
___ __ ROGER _--POITRAS__-_________--
R POITRAS, CL RK CIRCUIT CCKJRT
BY ~ - --------- -------
~ 1
--- --`L~~-- =~~ -- --- ----- -- -
Gerald Able ('~e81ey
.-
-- .-~~1PX~i~-•_~y~•~.--den ---------__, 19-----
.- ttgZ•yT-- -
.. ; ~ ..
- ' ~ ! ~ ~. 4: -' ~ ~, s-"*:',:: Notary Public
- - ~i+_..
-:
D.C.~J'.,, ~ --~ pon expires- -- - -------- ------ ---------
Q~ N ancot.~ i lrprcMn a.~ wlain~ 1~ ~rMA d.~, tiiwl
~ tt~cMt aiM T.x Aa.w~)
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