HomeMy WebLinkAbout0562
u j
I
J
r:. ~. 9
r~r' '\'.
(t.l"~ UV
0, R.
8:1: ~
57
Decluatloo uf D~ciJIt ,~lnt ~~pr~~:, 11
TO TilE STATE AND COUNTY TAX ASSESSOR,
ST, LuCIE COUNTY, FLORID..:
Tnis is my declaration of Domicile and Citbmship In the Statl! of Florida that I am filing this day in accordAnce
and in cunformity with Ch&pter 222, Section 222.17, Florida Statutes.
I was formerly 8 legal resident of
Splnda1e
(City)
North Cc.rollnQ
State
an! I rcsi,!('d at
206 Soencer street
However, I have cl;ang~d my domicile
'-.
(Street amI Number) ....
t.. an,1 11m and 11/we b('ell .' b:ma fide resilient of the State of Florida since
13th
day ot
......
SepteJlber
i9~andlresideat Rt 2 Box 327
(Steet and Number)
FOHT PIERCE, S.\I~T LUCIE COUNTY, FLORIDA,
ll::d this ,tatl'me'll ill to be taken as my declaration of' citizenship, actual legal residence and domicile in the State of Flor!da.
(Inq'rt here any pertinent facts, such as sale of properly or business, or relinquishment of employment
nt former domieile, removal of family to new domicil, purchase of home, etc.)
App1yiLe for homestead
-' ~:.,~::' ~}~L/:~..
,9,";;'.:..': ;.'..", '\'~',
: t*.- r: . .1.
. , ...., ",/ . '}-
. i. ,'. c: ...... . .,... /.t
0' .'>:;f~L.'~r.~:~@\~,.
.....!r.
113493
ntEO "NO RECtn~,I\~~\1~
1" Offid~\ Retord - u I,. \
\,
"'J \I' . 3
\(''lfE\3iG i"t\\\..
...)J
flOGER Pc9~~,~"~~\'~~~\~~;) I. /11
S'I. L\.lC'( uu' I" ,/J (p~()/"
I FURTHER CF:RTIFY that I will register at my local address when the registration books reopen, and comply
with a II ..ther rC'luirerr,ents of a leial resident of this State.
. I FU RTH ER CERTIFY that I h1t.ve no intention to return to my fonner domicile, and I intend t{) remain in
FOHT I'IEHn:. SAINT LUCiE COUNTY, FLORIDA, yermanent11.
-"- /,
'/-'/
(Name)
Pritchard
T. R.
~~
(Address)
~\\'o)rn :0 (\!l,! sub~('fibed IHofore me this
26
Feb.
, 19
63
day 6f .J -
RO(;EH POITRA~
CLERK CIRem'I' COURT
,
/
/ /. ~ L,'
(,- /,./:
/- //"
By L - ~ /
(To he execult'd In duplicate and original