HomeMy WebLinkAbout1534 . , •~Irv i r~a~ .
D~claraUo~ ot Domicili and CKis~nship j ~ p ~
33123 ;
TO THE ST/1TE MID COIJNTY TAX I15SESSOR, ' ~
ST. ttJC1E CO!lNTY FIORIDA: ~ ~
• I
This si my d~ct~ntion of Oomidl~ ~nd Gtiu~ship tn th~ Stat~ of Horida that 1~m fllinq thtt day i~ ~ooordana and
1~ aonformily with Gh~ptK 2Z2. Sation ~~2.17, Horida Statut~s.~
i
1~rai fonn~~l a I ! ~uJd~nt oi Crab Orchsrd ' ,_T~.~,~
Y p+ ru ~
(City) lStai~) ' .
«+d 1 natd.d •t General Del Horwv.r ~ haw chanp~d my ~bmWl.
(5trwf ~nd Numb~r) .
b~nd am and haw b~+ ~ bon~ fiei~ naid~M of th~ Stat~ of Florida ~I~ lit ~y ~
~ . _ .
Feb_ , t9~. a~d ~ rotid..t 41S Nnrth 3?th ~=ss~! ~
(StrNt and Numb~r)
lORT MERCE, ~AN~IT WCR GOINiTY. RORIDA
,
~nd this stat~nt is to b~ tak~n e: my decfar~tion of dti~a~hip, adual lp~l ruidena and domidl~ tn th~ StaN of Horid~.
pn~rt hKe ~ny psrtinsnt facts, such as sale of propsrty or budneu, or reltnquishm~nt of emplo~ym~nt
at forrnsr domidls, removal of family b ~ew do~r~icik, purchase of hon~e, etc.)
~ i
i
i
Bnteri~g Glad~s A. Williams ie tbe Sth grade ~
i33123
- ; pH0 RECOROED ~
-~~...80QK ~ o ~ ~yj,, ~
~ :
8 AM 9' 42 ' • •
1965 FEB - • : . . : a~„ . . ~ . > s~,
- o ~ ~ r s1
~ ROGER P01TRAS, a~c ~ ~ : ~ : ~ : y~
8T. IUCIE COUNIY. FLORIDA : :
: ~ :
f. ~ o r
p ~J +~inns r`
i '
. ~~a`
_ . .
_ . . • -
. ,
i
1 FURTNER CEitTIFY thit 1 wpl comply with ali a1l+K nquk~rn~Ms of a Ip~l n~idM+t o~f thb Sh1e.
f
t FURTFtER CERTIFY tha~ 1 hsvs no intsntio~ to mtum to my formsr domWl~, and I IM~snd to r~in In fOitT ~
; PI WCIE COUNTY, FLORIDA, permanenfly.
~ .`t ; ~ X ~9G~/~~0~"'as~A ~ . ' ~
~~'s~~ ~ ~ . (
: . , ~ . : ?'larJr A~es Sherriil
' r:• ~ . ~ 1 ,
' ~ • ; ' .
s ~ ' /f . •
(i~•~E ~p ~
; - • 63
b and wb~vib~d b.for. n+. this gtb day of ~r.ht~t~t• . 19
; ;
~ R~00~! ~OItR/l'~
' C~KU~1 COULT Notary Publk
i
` s~r O.c. My c~a~.~o~ .~p~
~ ,
R~ iw ~unaM~i M~IieM~ aw~ «i~M~l wM~ CM~ CIrwM CM14 a~i ~eM~ rrM~ Tioc A~~J i
~i9 ~
. ~~,3~1
.