HomeMy WebLinkAbout1105
ib~i .58 FAGE '4n? ,.
Declaratioa ,of~icilO- and1;:itizenship
~... ~Uet.[ COUNTY, nA~
.-..6.____.... ~ __. .... .
11380'('
TO THE STATJo": AND COl.'NTY TAX A.~ESSOR.
ST, LUCIE COUNTY, FLORIDA:
ThJJ is my declaration of Domicile and Citlzelllhlp III the State of Florida that] am mini this day ~ accordance
and In conformity with Chapter 222, Section 222.17, Florid. Statute..
I was formerly . l~.l rea1dent of
'fOLEDO
OHIS
[City)
State
2019 Ashland Ave.
(Street and Nwnber)
to and am and have been . bona fide r"ldent of the State of Florida aince
and I resided at
, However, I have changed my domicil!!
6th
day of
Febru~ry
63 1003 Ave C.
, 19_ ---0 and I mide at
[Street and N~ber)
roRT PIERCE, SAINT LUCIE COUNTY,' FLORIDA,
., ,
and this statement iJ to be taken 81 my,declaraUon of citizenship, actuall~al residence and domicile In the State of Florida.
,
[Insert here any pertinent facts, such as sale of property or bWilness. or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home. etc,)
....
Elf.l11riINJ T'i{(j (2) CHILDREN IN PUBLIC SCHOOLS
ALBERTA HOOHA.RT
(13)
(12)
"e'J ]f.,.'
, ... ...,., "'1''1 '
, ,,:~,"..o- . ..,..' )
, / ..,'.., : .< ';^ ,..'.1,......" ;.
" . ' :." ~;';~:-t.: 'c " t....
~~_~~~ ~~. .~~ ..~>J.~,'~'.7.;] .
: ..'\ (',: '.....,.
.,,'~ ',:',,;' , "- .:'... * ,:
-', ~^ ". ~..' "c.?'" '..
,,' '''0 '" Ih,.. ,A "
'. ";if"O~ ~ .~,..,
. '., , ,..;~ L' ,,' .
JES0E HUGHART
113801
fIlm, ~N\l ~C~\l~~\lK
\t ~ .oH\tla\ - -
\%1M~R-7 PM 3:36
ROGu1f[ PC%~11~n~mk~>>-
S1. l
I FURTHER CERTIFY that I wlll register at my local address when the registration b:)oks reopen, and comply
with ali other requirements of a :cgal resident uf U11J State,
I FURTHER CERTIFY that I have no Intention to return to my former domicile. and I intend to remain in
FORT PIERCE, SAINT LUCIE COUNTY. FLORIDA,
~rmanent1y.
~CLvl~ ~ FI ~
[Name] ,
.-.' '..--..
,,<" \.\ \ i '. CO''..
/'\....-J ......... U '
/~' ,"~\l'o\ r\ ';-" i'}./..',.
.:".....:::.~...~"L l~"" '
, ~~.. - .J>.', r,
':~. (", :,r.; ~:.1_;;.X~~.
-'. \.~~~ .to'.,~.tf :~Cribed before me thlo
-~:~.:, (~.:.:::3~~,.~.<: /
.'-,.' (. '. :i-~.po
".... .,.' K
BARMIN L. HUGHART
[Address)
MARC H
19--63-
'7th
:lay of
:3y
. ,
Notary foubUc
My Commiulon expires
D.C,
dupl1cate an4 orl,insl flled with 01erk ~lt oomt, and dupllcato with Tax Asseaol')
u '-_'u._ ,..-...,.-.. ...---......- .-. t
. ,- -~ -." ,~'-. -- --,-...,... ~ ~,-_...- .-'
I ~
'~,/"
. ,__4.
\