HomeMy WebLinkAbout1972 _ ......+v.s. . v - , . ;
.
i
~ ~ Declaration ot Domicile and Citt:enship `
TO THE STATE AND ~OUNTY TAX ASSESSOR,
ST. tUC1E COUNTY, fIORIDA:
; Thi: i: my declaration of Domicils ~nd Citizenihip in the St~te. of Florida that I am filinp this d~y In aooordana ~nd ~
' in conformity with Chapte? 2Z4, Section 222.17, Flaida Statutes. !
Nerr Yorlt Nerr Xork
' I wss formerly a le~ai rosident ot -
' - " ' (City) (St~ts)
228 - 12 67th Aveaue, Bayside ~ 64 .
•nd 1 rosided at . Howsyer 1. have changed my domkite
(Shaet a~d Numbsr) ~
~ ~ 31st
ro and am and havs been s bo~a fide ~esident of the State of Florida sinos _ day of
~ly 6'~ ~2215 North 43rd Street
~ • , 19 , and 1 roside et
(Street and Numbsf)
fORT NERCE, SAINT LUCIE COUNTY, ~LORIOA
and this statement is to be taken as my declaratfon of citizenship, actual legal residenos,end domicile in ths State of Horids. .
pnsert here any pe~tinent fact:, such as sale of ptoperty or busineat, or rolinquishment of empioyment
at former domicils, removal of family to new domicile, purchase of horr~s, etc.)
. ~ . ~
. = ~t ~ • ~
. . r ' •
~ Placing children in achool ~ : ~ " ~~'`~=s - ~
~ f ; ~ ~ ' • '
~ Jo$eph Se*syur Retcho - 1`~81~,6 + ~ ` '
r ~
jL~ ~,1'~`1~% ~ `
wilis~ Retcho FlLED AND RECORDED .
- - I~_ QOK
1964 A!:'~ ! 3 PM I: 24
, ~ RocER FoiTRas, ccF~rc ~
. ~ ST. IUCIE COU TT, FLORIOA
' ~i
. I FURTHHt CERTIFY that 1 wiil oomply with
i
all other ~equirements of a legal resident of fhis State. ~
I FURTHER CERTIFY that 1 have no intentwn ro retum to my formx domkile, and 1 intend to rorr~ain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
` -''h~~ . ~~a~Q~.~s-
(Name) Mre. alenn c~aaay
. tNddross)
~ ~ 13th Auguet 64
~ Sworn to and wbsuibsd before me this day of 19
~ ~ ~
L . .
E - ~ . ~ . .
ROGER ~01TR/1S ~ •
CLERIC CIRC~VIT C • ~v' `'~j~ • , • ~ Notary Pubik ~
- ~ ~ ~ ,
• ~~a ~ . W
• gy 'D.C. ~ My Commiuion expires
, ..•`t v ? . f ; .
' ji
j r G~~ " t1U
: f ''~-1
z (To b~ ~acul~d ia dupikata a~d o~ind fil~d'with CINk qra~tt Court, ~nd duplieat~ witb Tax Aa~J
~ . ,
~ i
~
~ ' - - _ • - _
~
.