HomeMy WebLinkAbout0620 D~claration ot Domiclls and Citixen~hip ~
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TO THE STATE AND COUNTY TAX ASSESSOR,
51. IUCIE COUNIY, fLORIDA:
This is my declarntion of Uomicile and Citizenship in the State of Florida that I am filing this dey in accordante and
in conformiry with Chepter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ~._~gt Ur~tn°e~ N9~ ~~?ePS~__~___
(City) (Steb)
w~9h to
and i resided at ~36_North W~lnut St. However ~a~4hange~ my domicile
(~treet and Number)
ta the State of Florida~ppl~lt -~tg._p~_#,~e.~~.~_-~ day of
ALt(LU9t , 19
64 , and71 reside at _~jlf~... -~uC1e
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
4
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the 5tate of Florida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employment
at former domicile, removal of famiiy to new domicile, purchase of home, etc.)
I am, and h~ve been, on active dut~ in th!? U3 Navy since 29 September,
1961, at ~rhich time ~r home was with m~ Pamily in East Orqnge, N. J. Ag
they have purchased a neW home at 3~61} Overbrook I7rive, ~outh Port SeSnt
~ Lucie, Florida, I hereby respeotfully request that I be ~ccep'ted as a
aitizen nf tha Stste of Florida.
~ FIL~ R~DED `
`~;;iY !N._.- 900K {
,
~ V ~ ~ ; ` i'~G, : ~ ~ ~~~C~`~i~-~ '
j~~J~~~:~' y= '6S A~~r 3 qa) I0; 33
: -
; _
,,x-.... _ ' ~,r,`_1,~.'~
' Ji;(' .tu ~
. : ROGE'rt i'U~~i ~iA~, CLERK
' ~V~' ST. LUCIE COUNTY,
~ ,
~ ~ FLORlOA
~~`''~•,r„~~~~~~.~,,
I FURTHER CERTIFY that I will comply with
al) other requirements of a legal resident of this Stafe.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend ta remain in FORT
PIERCE, SAINT LUCIE COUNTY, Fl4RIDA, permanently. ~
~
(Name) Jo F`~'add, Jr.
US5 Pie~firiont AD17 W-1 Uin
FPO, San Francisco, CaliP.
(Address)
~worn to and subscribed before me this day of -5 T~Ml~F,~ , ~q
~
S~
~
~OGER PQITRAS ~
~LERK CIRCUIT COURT ~ ~ ~~~td ~ry~ublic
r 5'
By D.C. y Commissian expira
6o~K i~4 „
(To b~ ~xavl~d in duplit~M ~nd ori~inil filed with CIKk Cin,uit Court, ~nd-dupliuh wiN? T~x Ats~tor.)