HomeMy WebLinkAbout0875Der~aa~tir,rt of ~un~:cile ~~ ~i~ens~up
_ BOR: ~ ~o >~cE 19~
TO THE STATE :1ND COUNTX TAX A~E.43QR, ,..._ .
3T. LuCIE Cot,*N~rY, FL~'RII)A: ~ ST, lUC1E CHUM i Y,_ FLAk• -
Thu is niy declaration of Doarlcils ~d Citizenship !.n the State of Florida that I am filing this day !n accordance
anrd in conformity wiW Chapter ;tZ2, Section 2gZ.17, Flaridt Statutes.
I wa. formerly a legal resident oi-.-~~.~'~~---(~~] ~~~* State
and I resided at-----~ ~ t - -- However, I have changed ,ny domicile
• (Street sad Numbd; ]
to ana am ana have been a bow fid. resldtnt of the state of Florida sines ~_ 14th ~ day of
November 8?. 303 ~. 22nd street ,
19., _, and I reside at
[Street. and Number]
FORT PIERCE, SAINT ~,LUCIE COUNTY, FLORIDA,
and this statement Is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
a
(Insert here~ny pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile. purchase of home, etc•]
Tstablishing residency
1.04.83
~~ F ~ AHQ RECORQEO
1300K
1961 NOV i 9 AM -0: ~ -
SR~GtiC E POUNT~S'IORIDA
N'F
. ,. ~: .
,_ . _. ~e,1. ,~ •
~;~~~'
,' .
I FURTHER CERTIFY that I will register st my lo^_al address ~~hen the registration books reopen, and comply
with all other requirements of a legal resident of this State.
~,.•I ~'t!R'FH~t CEFi.'TIb'Y that I have no intention to relu~~n •to my former domicile, nd I intend to remain in
,•~
k~Ohf~' ~i?Y~RC)i;.~~'A~' .l".~G~' COUNTY, FLORIDA, permanently.
~• A, ` ~~ ~ , J• n,. ~ ~ [Nam
. ~ • ; ~~~• .' Joe J, 3 ona ~r
• ~• -- ~~~` (Address]
• , , ;: ~ , is ' :r'
Sworn to`nna~stYbscrfbed before me :.t-.is_ 18t~-- day of ~av~b9r - ls_ 82
ItCGER POI'I'RAS - - --
(.'I.~:RK CIRCUIT COURT Notary rablic
3y ~~~~?d~d~ D.e. i5ty Commission expires
[Tn be ezecnted to dr:ptttate znd original file:i with Cleric G!reuit Goart, ands dupldrate with lax Assessor]