HomeMy WebLinkAbout0895D. L'. ~
ntc'ara~on .~# #?amicl~ and Gitizeine~p
- ST. i.L:.~E' CGtlk~Y. ~i.r
,.
TO THE STATE ,AND COUNTY i wX AssESSOR.
ST. LUCIE COUNTY, FIARLDA:
This i, my declaration of I;;»«icite cad Citisenatilp In the State c.' Florida that I am fU.ir~ thL day !A accordance
and in conformity with Chapter 272, Section 222.17, Florida Statutes. -
` Mayesville s. CarQling_,,,
I was formerly a le(tal resident of.
(City] - State
Rt 1 39X at PO st Of ti C e However, I have changed my domicile
and I resided at
- (Street aad Numbe`t~
to and am and hays bean a bona fide resident of the State of Florida since 16th day of
1dAOVember _,- 192 ana I reside at - 8J4 North 10th atrae
• - (Street and Numbed
FpAT PIERCE, SAINT LUCIE COUN i Y. FLORIDA.
and this statement is to be taken as my declaration of cltlzenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sale of prcperty or business, ur relinquishment of employment,
at ~fermer domicile, remo~~al of family to rew domicile. purchase of home, etcJ
Entering Jat~ss Wilson in the .7th grade
^ Mary Louise Wilson in the ~lsII grade
'~ f~armon Wilsoa in the 8th grade -~
" Luvenie Wiladn in the 7th grade
" Herbie Lee Wilson in tat grade
" _ Jim V~ilson in the Zad grade
~-
. " ~/nor' (_ 1~ •`. .
`g6.~~p~1 ~`~RaSF pE~ OA.~7,
¢p`~~ E C®~~~~ ~9~
I FURTHER CERTTr'Y that I will register at my local address when the registration bJoks reopen, and comply
with all other requirements of a IeSal resident of this State.
I FURTIiER CERTIFY that I have no intention to ret~.tr'n to my former domicile, and I intend tc+ remain !a
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA, Permanently. _
C~lame]
RaohelWilr~on
_ (t_ddr~l
_ - ~ s~
Sworn to and subscribed before me thin- " 1~~~-~~---~+.~'bI ,....__ ~O$~,~~~-..., 19--
Rte' ~ ' ' ' ~ Nota P~rbiic
CLERK ~IRC T COURT ;~,° -- ` ;` -- "'`~-: 'r' _. rY
/~ ~ :i .
..~., ~r {~.) `~ , . ,~y `trc~sk~it:saian etpires
f S C S. .S~1n+ ~°E• ~ .
t~ rZb be ~seegted ba dnpiicste ~ arigiaad tiled iirf~r~1.0earrt, arad ®ugIl.~to aitt+ Txu Assessor)
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