HomeMy WebLinkAbout2643~~~ 2S' S~
J Declalrotio~ S~f 1~~ ~~ A._ C'ihzen~ip
TO THE STATE AND COUNTY TAX ASSESSOR.
` - St..Luc1t3 COUNTY, FLORIDA:
This is my dedaration of Domkile and Citizenship in the Sta» of Florida that 1 am filirq this day in aooordanoa and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
Teane k NeK Jersey
1 was formerly a Ipal resident of-------------------- ~--------------------. ----------------------
(cnrl Ra")
and 1 resided at ____-~~.-- t-~~rl~D~'1.-----------------------. However, 1 have d-arped my domkils
.nd Nuwb.rf
to and sm and have been a bona fide resident of the Sts» of Florida sinns-------~0-------------------- day ~
-------------- June__-__--__-__-_____-, t9__~63,6~¢ I reside at _1~'~-~ola~AvB..r_P~.~S~.Iaicie
- lw••r .nd ~w~b..i
Nort Pierce St.Lucie
---------------------- ------------ _ ---------------- County, Fia,
tall
and this statement is to be taken as my dsdaration of dti~enship, actual legal residence and domkile in the Sta» of Florida.
piwrt Irn .nY pKtimnl f.~, wd+ a. wM of propwly a bw~. or nlNquhM+Mr of MnpbYn~M a fonmr domidb,
nrwar+l of f.rnily b mw- deinldN. punlw. et haM..~el
Establishing resiliency
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IN
196t .l~N 30 ~ 10:20
R~LUCIE COUNR'1 ~~LOA
St.
-•,vV1T~~ Cud
F~ ~.u ~~
I FURTHER CERTIFY that I will rpister at my local address when the regishation books reopen, and comply with all
other requirennenb of a Ipal resident of this Stall.
1 FURTHER CERTIFY thst 1 have no Intention b return b my former domidle, end I intend to remain in
Fort Pierce _ ------------------._S~,~-Lucia------ County, Florida,
I~~Y•
•-•~t
Sworn to and wbsaibed before fr+e thb`____~Qli~.y:k;,~~'
-- ~ ;..
------ -~T~s----- - - =- ''
R F'OITRAS, CLERK CiRCUiT COURT t r ~ ~,~~
- ---~~---------~~-----s- ~~-:
i,
~3.iin Spieg
---~-------- - -- - .19__.62
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M M ~1 b iyMw w/ •~ 111 wikJ?~~.
sroo. n. -~cwoc ~ '' .
~~~Notary PuWk -------- -- _ ..
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