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HomeMy WebLinkAbout1436 ~ ~ ~~cla~ation ot Domicite a~d Cltize~ship 12'7875 TO THE STATE /WD C'OUNTY TAX ASSESSOR, ST. lllClE COUNTY, FLORIOA: . This is my declaration of Oomkil~ a~d C1tls~nship In th~ St~t~ of Florida that i am filiep thit day in aooord~na and in confwmily with Ch~ptK 2Y.t. Ssttion Z~~.17, florida Sbtute=. . • ~ 1 was forms~ly a le~! rosid~nt of ~ ~ (qty) ' and 1 rasWed ~t ~i Q! ~~'~~L Hov~rfw~ t haw charpsd my domTdlt (Street and Numbsr) • E: to a~d an ~~d haw bse~ ~ bona fids ro:Jd~nt cf tl~ Stats of Nakla ~noe / day of , 19~ind 1 rosicle ~t • . ~ _ amd Number) ~o~r n~c~, s~ u~ couNnr, ao~~ ~~.~.+-,~t ' . and thi: stateme~t is W be takan as my dedar~tion of dNra~~ip, adual le~l ~esidence and do+»kils in ths Stste af Ho~ida. . 1 praert i~e ar~y pettinent fatts, such a~ ~ais of proparty a~busin~s, ar mli~qui~rnsnt of employrt~snt i at fonne~ domtdle, remove! of famjly fo new domidte, purchase of hon~e, etc.) , . , ~ _ . ; ~.~&~5 - - - . ; ' A~p ~E~pROED o : ~,EU ~40K ~ . ~ ~ ~ 1~1 30 y; ~9 : ~ : .~r.-. 196 , . . ` • , ~ ~ 1i~"'• r i ~:1s'~ ~ M ~ . ~ ~a po~iRAS~~oR~~ . ~ _ ; , , ROG c~E ~0~~~1. ~ d'`~ ~~i s':. - s~~ . ~ ~~.i~. • ' . . • ..•`~I~~ ~ ~s • • i - ' ~ . ' I _ • ' . ~ . • : . ~~~H~ CE~~~ 1f1at ~ W~~~ ODf11(~~/ yyjifl . i all athsr requirements of a le~al resident of thts State. . ~ • 1 FURTHER CHtTiFY that 1 have no (~tention to return to my formsr domlqte, and 1 InMnd to rom~in in FORT PIE~tCE, SAINT LUCIE COUIVTY, RORIDA, psrmanantly. *t.ii ~ ~ ~ ~``~t~ . . + ' ` ,.1 ~ tName) • ;:j-!~•• r, . . . _ • k . .3 A : . . ~ , , . ~ ~ ' ~ ' ~ l:0 . . ~ . : . ~ ~ ; u~~~ ~ E e~ . - . . s~«n ~o .na wbsc~ibed b~or. m. M~is da~? of 19~~ ~ : ROlilR ~OITRAs ~ ~ Nofary Pubik ~ ~ ~ df? C.C. . My Ganmis:ior? ~cpi~ ~ - ; t ~ ~ ~ _ ~ ~.?~5 _ . : ~T. w.oawMd M d~qca~. .~i .~I~ai tN~d ~ cM~lc ckait c.w:, and d~piie~l. wtii~ Ta4c A~.or~ ;