HomeMy WebLinkAbout1991 ~
Declaration oT Domicila and Citisenship
TO THE STATE AND COUNTY TAX ASSESSOR,
r'~
Sl. LUCIE COUNTY, fLORIDA: -
This is my declaration of Domicile and C+tizenship in the State of Florida that I am filing this day irt accordente and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
' Springf it2d !lissadri
I was formerly a legal resident of _ _ _ - - - -
_ ~C;~,~ {State)
1545 NOxth $all7tS _ . However I have changcd my domicjle
and I tesided at _ _ - - -
(5treet and Number)
to and am and have bee~ a bona fide resident cf the State of Florida since _ 20d.. day of
SeRt~m~i~~r-__-_, 19
6.5_, and I reside at ---1901_D~?1sA~C.
(Street and Number)
FOR i.^~ERCE, SAINT LUCIE COUNTY, ~LORIDA
and this statement is to be taken as my declaration of citizenship, actual lega? residence and domicile in the State ~Inrida.
(Insert here any pertinent facts, such as sale of property pr business, or relinquishment of empfoyment
at former domitile, removal of family to new domic;te, purchase of home, etc.)
B~ttring children in school
- -
F1LE a1~ EC RQEd
, ~N_ ' ' 3t1QK
` . . . ~ '65 SEP 7 PM i : 3 D
. ~ ~ ~ ~ M ~L3~~`~~
. -
• ROGER FOt~CRaS, CL~RK
~ : . ~ ST. LUCl~ COUNTY,
~ ' ~ FLORIDA
~ •....•;r, ~
. l, •
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
! FURTHER CEIt71FY that I have no intention to return to my former domi~ile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORibA, permanentfy.
: - _ ~
- • ' {Name}
Y~thieen Woods
. ~ . . . :
~ - - -J ~ ` : - -
(AddIE.'S5~
' ~ . ` .
` 7th Se tembez ~q_ 65
-~Swp~41 ro and subscribed before me this - day of
~ .
ROGER POlTR~1S - -
K CIRCUIj.,fOURT NAtary Public
c~..L.,G~- ~ ~-t~A--c.-~__._
gy _ - D.C. My Commission expires _
(To b~ executed in duplieate a~d originaf ~ile~d witF. Gark Circuif Ca r` ant! duolics» with Tax Ass~ssor.) ~
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