HomeMy WebLinkAbout2601~o~~ 28 r~470
Declaration of`~,q ' ' ~c~.~~iti~enship
TO THE STATE ANO COUNTY TAX ASSESSOR. _ .
St. LuC1A ceuNTY, FIORIWI~
This is my dsdaration of pomidls and Citiaenshlp In tM State of Fkxida that 1 am fitirq this day in eooordanoe and
in conformity with Chapter 222, Sedbn 242.17, Florida StatuNs.
1 was formerly a legal resident of__---- ~~~c4-~~~~e------------------• ----~~X. ~9~-------
a~aa
----~-HrflBd_P.Br]O~By __-. However, 1 haw d-anRsd my domkile
and I resided at ---------"'-------------
(S1rw end N~
_ day of
to and am and haw been a bona fills resident of the Ststs of Florida since-----25~-------------------
_, 19~-, and 1 restds"at ___-~?-~- ~1~~~--------
----------April----------------------- ^
River PNrk -_ County, Florida,
--------------~~ ~F~--------- --
and this stateeinent. is to bs taken as my declaration of dtizenship, actual legal residence and domidle in the State of Florda.
-- piwrt Mn aey V~~ f.cb a'd' w ~.1. d proPwb w bu~Mww. a nikquidr~M d a^d°'y"'~N N faw,w do,nWb,
~w~aval of f.mily b nw ~anfeYa purefww of.hon», Me.)
Establish Reaidetc-cy
. ~ ~~i~
~ ~u: ~a
{46t.Mw~
t~j~lOC E tOtlNt~ S~~R.W "7
~.i
_,.: .
,..._;. _
.,
• ~' •,.• •~. JJ,
.,
~, ~~.~ti.s, ,, .:
1 FURTHER CERTIFY that 1 will repistsr at my lout address when the reRistratan books reopen, and comply with all
other r°equiramsnb of a Ipal resident of this Stets.
1 FURTHER CERTIFY that I I~aw no 1n~n to return to my former domidk, and 1 intend to remain in
----:r''=;~ ~°~~ ~fi~Cfi----------------• -------~-•-1.13C.~~9----------------- minty, Florida,
4 ',
., t
a.~ ~__ ~--------
s ~i i ar',• i " _ >A K•AhaD a'f'""1
.:
., -~ v t ~-ddr.ra
••, ac •........• ~ E
Swon- -------..-