HomeMy WebLinkAbout2018
lince
14th
day of
.a-.___.. ~..~ ~___.~~.._~'..._~...-..._..............._<..._"......-__.."" ..............-..........'............... ""'-.~ .-....,
r. ll' "9' 8~
' ar'~::>' j. a
Declaration of ~inieile ariJ'~ 1 en ship
~ )!. ~~(I[ Cllr.~T, fLA.
,. -. ..- .- --. . ."
114365
TO THE STATE AND COUN1.'Y TAX ASSESSOR,
ST, LUCIE COUNTY, FLORIDA:
Thll La my declaraUon of DomicUe and CiUzenahJp in the State of Florida that I am fUin& this day in accordance
and in ronf"rmJty with Chapte.' 222.. Section 222.17, Flori~ Statutes.
I wu formerly . lepl resident of
Lakewood
[City)
New Jersey
State
and I raided at
87g Ooean Af'e.
[Street and Number)
to and am and have been a bona fide residant of the State of Florlcla
However, I have changed my domicUe
November
62 148 W.Prima Vista Blvd
~ 19_--. and I reside at
[Street and Nwnber]
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA,
and this .tatement U to be taken as my- declaration of citizensh Ip, actual legal residence and domicile in the State of Florida.
[INert here any pertinent fads. such as sale of property or business, or relinqlli~hment of employment
at fonner domicile. rcmo\'al of famUy to new domicile. purchase of home, etc.]
App1yinl tor homestead
,.' ..
,.' "OJ '...",
.,'\;\.,....,.i( ,
." ..- .,;> .
..- p ,. J
" :'~ ,',. p
:.,:, :
'0 .
,- . -- \ ;
: .-
: t.~
t":.
". .
." ;'r r~ ~~ .!...._:~
, 't'\ I."
. , :' ., 'I \., ;,-
oJ l.. ,.,"
114365
If.,' F~. ~ND RECORDED
'- l!lal ~ '~ODK
1963 t:~a 29 P/i 2: 0
RO 4
S T G En POI-/ j)A"
I, LUCIE I ~'. .). C' [.'\K
COU,/, r. FLGaID/~
;~
./
I FURTHER CERTIFY that I will reguter at my local address when the registration b::Joks reopen, and comply
with all other requirements of a legal resident of thls state.
FORT PIERCE, SAINT LUCIE COUNTY. FLORIDA,
.), '\\\ c.. I:
v , " ~':.'
, "', .-","'#: \. " '.....-""!'}
. r
. . ".
O.
! C. ~
. ,...:
I FURTHER CERTIFY that I have no intention to return to my fonner domicile, and I intend to remain in
..'m'n.ntly~ c? ~A/
Tracy C~ser " [~e]
,) ;',
I' ,
." : I
-' ':
~
,
r Address)
" ,
Sword t~ and SU~f~ befoTe me this-
/".' '"
'. I' ~ r, .' '
29th
jay of
March
19~
Z. R POITRAS
::::;r CLERK CI~UIT COURT
-" ~-G~
~y -
Not'iry Public
D,C.
~fy Commis.!lion expires__~
[To be executed In duplicate and orlrln:ll fUed with Clerk Circuit OOur!, and dupUcate with TalC A~essor)