HomeMy WebLinkAbout2422- ~
y.~... _ - _._ ... _
• .t.
- . ~ Drclowtion of Danicila amd Cih~ship
~~~ z8 ~~~
TO THE STATE ANO COUNN TAX ASSESSOR. - ..,~_ -
t_ ,ems ceut~tnr, RARIt)/-~ - . Sj• IUCIl: COUNTY. FLA.'
Thb Is my dedarat~'ott of Ootnkib and CltinansMp in tite State of Honda 11-at 1 am f<ilinR thb day In aooordana and
in conformity with Chapter 222, Section 222.17, .Honda StNuNs.
1 was formerly a Ipal resident of_____-- T11a'-v ~ ~~~-------------------• -----~ ---
t
~ ~ domkib
and 1 resided at ___--~ ~~ ~l~~ -------------------------. However, 1 haw thargad my
.. s ~---- - - -------
roand am and haw been a bor» fide restdaM of the Stets of Honda since-----__---- - - --- - ~ °f
July - --
__, t9__~, and 1 reside at __301-Holley Avenue z_Rifer Pk~
Fort Pier ce St. Luci~-=----------=---- County, Honda,
and this statement is ro bs taken ss my dsdsration of dtinanship, actual bgal residence and domidle In the State of Fkxida.
pnwt hire .wy prrt~rnl f.eM. ruel~ w talr of popMb a bu~MrM. or nlMauWnr~M of anpby~w.eM at fornrr domidlr,
rrnrvl of f.n~ilr a nr.r domidlti purthMr of hover, r1e.1
Applying for homestead
•SRO UC E COUNT AS' aERK
r• ~~oRioA
1~~1S
qV
1961 ~ 24 ~
PM 3: 20
•,:.,.,
::Z"1 ~ "~~, ,-
,.Ti ::,~
a .ter ~ ` •~
J • ~~~ •~'` ;~
I FURTf~C'ERTIFY that 1 will register at my local address when the registration books reopen, and comply with ail
other requirerr-enli- of a legal resident of this State.
. ~ ~ ,::. .
t ~j}~fR'~iTlPlf that 1 have no ihtention ro return ro my former domicile, and I intend to remain in
• ~ ~'~••~ui•i''•• ~~ _ -L1it: Via`------ ty Florid ,
• ---• -----------------$t~- n a
•,. ..
.,, ~.
~a ' i J• - /
: ••
•.. •- co.• ,,. .
...... , ., ----J~n Heaar3f_ Lip.~int4~t---------------
- uwa...a
Sworn to and subscribed before ma this-_-------2~-- -----~Y of --------- "ia~~~---------------• 19_b2--
_ _ _ Rp~B~_Poitr ~ Bl~'k---------- Note Publk ------
RDGER POIT , CLERK dRCUIT COURT ~ ry
_-- p,C. My Commission expires-------------------------
BY - -- - ---~ -- ---------------
~ M r ~w ,awl a1aMd Ird wrllf, f.M~k Cirri CrrA, .~ ~riM T.ac Awwd
r~co. -T. •~cwct `