HomeMy WebLinkAbout1596 . a. ~a._ .rr. -
Declaration ot Domicile and Citizen~hip ~
TO TWE S7ATE AND COUNTY TAX ASSESSOR, 13~7 I~~
Sl. LUCIE COUNTY, FLORIDA:
This is my declaration af Domici~e and Citizenship in the Statc of Florida that I am filing this day in accordante and
in conformiry with Chapter 222, Section 222.i7, Florida Statutes.
I was formerly a lec,~ai resident of M~ttChe3ter ___~__Conn_ _
- - -
~~;tyj (State)
and I resided at _ _ 14~ CQqj~~H~~j__$~;_~~~____ . Hawever 1 have changed my domiGG~e
(5treet and Number)
to and am and have been a bona fide resident of the State of Florida since _ 20th _ day of
Au~ust _ _ _ , ~q 65 , and I reside at , _334? _Sp_ Federal High,~y
(Street and Number)
FORT PIERCE, SAINT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and damicile in the State of Floridn.
{Insert here any pertinent facts, wch as sale of property or business, or relinquishment of employment
at former domici!e, removal of family to new domitile, purchase of home, etc.)
Lived in Vero Beach 605 15th 5trett for 2 months and #hen
,
~oved here Odt 22, 1965 ~
Enterin~ children in scY~ool-- , F~O ~ D, RECORDEp
-~---8 0 0 K
4 in the ElemAntary school
- 2 in Jr xigh '6S ('!'T 25 p(y 2; 3~
: 13974f~
~ ~ ' ~~li~f; ~ , ~ ~.V~
S 'L L ~ R
_r,° . ~~C~c COUNTY, K
: u ~ ~ - ~LORIDq
" . ' . ~ ) _ ~
• ~•!.`'.,..••ll~tc .
1,F~1't~t~tHER CERTIFY that I wi{I comply with all other requirements of a legal resident of this State.
I FUi?THER CERTIFY that I have no intention to return to my former domi~ile, and I intend to remain in FOR7
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanentiy.
_ / ~~L„r~ ~t.[
• (Name)
, . ' Phqllis Nemec #
.
~ ~ . s'J , ~ ~ ~ .
(Addres~)
. ,~~•v .
' ' 25th October 65
Sworn `to`,ani~ subscribed before me this , day of ~ , 19 .
ROGER POITItAS
K CIRCUIT COURT Notary Publit
B~r-- D.C. My Commission expires r.
(To b~ executed '+n duplicate snd originsl filed with Clerk Circvit Cou~t, snd duplicate with Tax Ass~s~or.) ~
SO(~ 1~?t7 tIV~