HomeMy WebLinkAbout1996BU~I( 27 ~cE596
peclarot~gr>~~~ ~R~~c~l°i- and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR,
St Ltci a COUNTY, FLORIDA:
This is my declaration of Domicils and Citizenship in the Stets of Florida that 1 am filing this day in accordance and
1n conformity with Chapter 222, Section 222.17, Florida Stst~tes.
1 was formerly a loyal resident of_____-ale sn ra _----------------------. ----y ~~~-------
• lu+y)
• and 1 resided at ____-__----~1F<j-COl18~d-~^t.~aY~------------------. ~wever. 1 have changed my domicile
to and am and have been a bona f'~de resident of the State of Florida since_____~Qr.~it------------------- day of
--------------~51\L@Q1bBL--------~---------. 19 ~l__, and I reside at __l3~_~--~`CBII~I@~ uD~Le_,St.
---------------Fort Pierce----------____-- ~~.. Lugie ---------------- county, Florida,
(day) .
and this statement is to be taken as my declaration of-citizenship, actual legal residence and domicile in the State of Florida.
(InaaA hen any parfina.w facts, such N MM of proputy a businaaa, a nlingvaMMnt Of Maployenaet N tonnac dpnkiM,
ranoval of family to nwr danicila, purchaaa of bane, atcJ
Establish Residency
loi~o
(~ F1LE0 AID RECOROEO
' '~-~R~ce~d-.90QK
1961 JAN 18 AM i I : 39
ROGER POITRAS, CLERK
ST. IUCIE C~~ IfA ORIOA
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.
I FURTHER CERTIFY that 1 have no intention to return to my former domicile, and 1 intend to remain in
..~~
.,..,:~a~t~-,fiat"ua------------------------. --
:,,• .a;.
---~~-lilC~H.------------- ~ntY• Florida,
L~~%' - - ~ ,- --------------
prnna)
wilbnr w. sine
Sworn to and"v'.wb~ribed bef me this----__1BLh - --___day of ____~8~1i@~--------------------• 19_ ~~--
-----ROGER~~~~~~`^'', CLERK CIRCUIT COURT -_ ~. Notary Public
D.C. .. My Commission expires-----------------
(T. M w.aa.u/ V bra aw/ nl~l 1M/ .rli Dark Cbwr CswR, ad t1~MasM rrM Taw Aaaaws)
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