HomeMy WebLinkAbout1924Declaration of Domicile and Citizenship
do~K 27 PACE524
TO THE STATE AND COUNTY TAX ASSESSOR.
St. Lucie COUNTY, FLORIDA: ~T. t t1CIE COUNTY. FLA.
this is my declaration of Domicile and Citizenship in the State of Florida that 1 sm filmy this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of____ Indla~ou~,QQ~iD ~'___ ______________, ----___~~N asil6sla_--
1724 S t'E't Street -
srtd (resided at _______----------------------------------------------. However, I have changed my domicils
(StrMt ar,d Pluentrr) -
to and am and have bean a bona fide resident of the State of Florida since-__-__-_ 16___________________ day of
January ________, 19___ 6,2and I reside at ____-__ 1404_Delaxare_~ve___
Fort Pierce ----------------
------ Klty)
--- St~Lu~1e_____________ County, Florida,
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Inwn h.n .ny p.rtir»nt f.cts, such as wM of prop.ny a bu~irrss, or nlMquuhrn.m of anf-IoymaM at forms domiciM,
nmovl of family ro erw domicib, purctrN of hoer. •tt.)
Entering Danny Kersey in $th Grade
~ Ronnie Kersey in 7th Grade
w Siiievie Kersey in 4th Grade
x Kathie Kersey in ~rd Grade
Debbie Kelsey in st Grade
$atablish Resideacy
-~UiJ45
~p_AND REC ~BDOOK
1962 JAN 17 AM 10: 18
ROGER CO NjY F'~RIDA
St. IUCIE n .•.•....~ '
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I FURTHER CERTIFY that I will register at my local address when the registration books reopen, and comply with all
other requirements of a Isgal resident of this State.
• 1 j}~.CEifT1FY that I have no intention to return to my former domicile, and I intend .to remain in
~~ LUI~T ~ _~~_~~.-------------- County, Florda
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• fir' ,~(•, r ~. ••~ `_,' ' ~'S • L03.>: Kersey--- ,--------------------
Sworn to and subscribed before frte Phis------__-~----___day of J811t~~-------____-, 19_ ~_
-B,o~~ar_~oitr~,~~_k------------ -------------------------
K CIRCUIT CCNJRT ---------Notary Pt:bik
ROGER POITRAS.
_ ..~Ct~________._-- D.C. My Commissbn expires-----____-=
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