HomeMy WebLinkAbout2770 :~~6'71~ ~
Oecta~~tion at Domicile and Citlzenshlp ;
. `
TO TME STI?TE AND CQUNTY TAX ASSESSOR,
• I
. ST. lt~C1E GOUNTY, FtORIDA: '
~
This is my declaration of Oomkile and CitizMShip in ths Stat~ of Flotida that 1 am fiiinq this day in ~ooordanos a~d ~
in oonformity with Ghapter 242. Ssctio~ 222.17, Florida Statutes.
1 was formsily a leqal ~esident of ~~m111gtOII (;gl~f.
(City) tS1eh)
' ~
+ ~t 10309 Cedar Ave. . ~ ~
~qsd mY domid~e
(Sneet and Number) .
b and am and h~ve been a bons fide rosident of ths State of Florida sinos 25th dsy of
~ , May 19 6~ and 1 resids at 111 9outh l~th street
. • t5troet snd t~iumbe*)
fORT lIERCE, SAINT LUCIE COUNiY, RORlDA
and this ststsn~t Is ro bs taken as my deciaration of citi~en:hip, actual fagal residence and domkile in ths Sta» of Florid~.
pnsert hsfe any pehinent facts, such as sale of properry or business, or rofinquishment of emplayn~t ~
at formar domidle, rsnaval of family b new domidle. purchase of fame, etc.~
Ehtering Teresa L Anthony in the let gra.de .
~ ~ 1.~86'71. .
. ~ ~ . ~q~fp gECO DED
~ ~ ~ ~ ~ t . - _ _~tiaal Reco 800K ~
~`~,;;r'~,'•,~ ~
F • r ? ! ;
. 1964 SEP - t AM 10: 06
_ ~ .
` ~ ~ ~ ~ R06ER POITRA5. CIERK
; : , : .
' i-~~; St. LUCIE COIIt~1Y. f LQRtQ
. ,
.
. to . .
: 1 FURTHER GERTIFY that 1 will oomply with ell att~ nquiromenb of a le~at rostdeM of thl~ Stata .
~ ~ .
; ! FURTHER CERTIFY that 1 have ~o intention to mtum to my former domWle, and 1 intend to remain in FORT
~ PfERGE, SAINT LUCIE COUNTY, ftORiDA, permanently.
a t ~ ~ ~ ~.C
, . + r'+~~• X
~ N ~ ~ : ~ _ Laa Arithony~~ Mr . Tallord )
i ~ ~ j
:,y.'.
~ ~ ' ~ -
v
. i .
; t / E t 0 • t ~ - ,
Sw~orn b and wbxribed before ms this lAt ~y Ae tn e~nt~r,~:,.,_--. 19~.~ .
i , .
~
, ' '
+ Rt~G~ ~OfiRAS
~ t~CU COURT Notary Publk _
~.,c~.e Zv ~
D
C. My C~o~niulo~ expiro~ ~
(Ti b~ ~onaihd b~ ~ awd ~ri~i~ fil~d whb Cl~k CiraiM Corr~, ~nd d~pha~N wi~ Tax A~~a
. 6~~ ~ 97 ~~~E3f ~
.
. ;