HomeMy WebLinkAbout1827' ~ ... - - - .D~clarotion of Domicils clod-~tiz~~~ip Qb~t 2"~' w-cE427
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4 ST. 4UCIE COUNTY. FLA.
TO THE STATE AND CCtUNTY TAX ASSESSOR. ~ ` _-- - -
S~ T....~ w COUNTY. RORIDA: ~ .
This Is my declaration of pomidle and Citizenship ir* tM State of Florida flat 1 am filing this day in accordance and
- Florida Statutes. .
in crnformiry with Chapter 222, Section 222.17,
_~~~~a -----------
I was formerly a legal resident of__ r1'Za~ ---
_________, However, 1 have changed my domkile
---- -------------------
and 1 resided at __-----------~~ arrd Nw~)
to and am and have been a bona fide resident of the State of Florida since----~~t---------------------- day of
- - - ------------D~----------------. 19__~, and I reside et ---~~- ~41'lQ_StTeet--------- _
- - _ (Str.~t and Nwnl.ar)
__---$~:__ LuC1e _____ bounty, Florida,
-- --------------------~`~~~islae~a---------- ----------
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
a business. a ralirquistrnawt of amptor~nant at forrnar don-idM,
(Insert here u-y pertineN facts. such as sob d property
removal of famib to nrvn d°'^~b• P of home, etca
Establish Residency
i()18~~
_.
• ;, .
RE ~~
M
1962 JAN 15 AM 11: 16
ROGER P017RAS, CLERK
St. LUCIE COUNTY, f LDRID
4~ ,
1 FURT1iER 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.
I FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in
$te -Lucie __-_ _ __ __-- county, Florida,
Fort P - erce -- _ _ _ -- ,
(City) .
permanently.
-- - -- - -
~
l.' .. - -- -- -----(Noma) -- -- --
-
~; "`' ~ ` ~ ~ George R. Fleenor
- -
.~: ;; ~
.~: , ~ ...
, ---- -~- - -- ----
(Address)
- "'~~ d.. -tb
re me this
d --~~ -- -- - ---day of - - - - - -
e
Svirorryt4'~•su ,$v
ROG ITRAS, CLERK ~RCUIT COURT
By
- ~ ----- -- D.C.
- ---------Notary Public --- ~ --
My Commission expires ------- - - --- ---- ~-- -
sd «taiwal }~ ~rMk Cork Crows CeNt, a~/ Igarale wMlt Tax Mawsawr)
(T. M eaess~ kr ~rkaN
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