HomeMy WebLinkAbout2226 ~
7
Declaration of Domicila and Citizenship
TO THE STATE AND COUNTY TAX ASSE~.SOR, i`~~ ~it j J
51. LUCIE COUNTY, FLORIDA:
Chis ~s my deciarat~on of Don,~c~ie and Cit~zer~sh~p in the Stare ot ~lorida thar ~ am filing this day in actordance and
i~ conformity with Chapter 222, Sect~on 222.17, Flerida Statutes
I was farmerly a legal resident of lndiarn~lp0~8 _ ZYl(~iT"1~ _
(City) (Sfate)
and I resided at Et~109 No. Carolina ~pt ~ _ _ However I have changed my domir,ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 2~'h _ day of
October
- - . , 19_d5 , and I reside as 36? ~r~'RC10Ugh ~
(Street and Number)
FOItY PIERCE, SAIN7 LUCIE COUN7Y, FLORIDA
and this statement is to be taken as my declaration of citizenship, actual lega! residence and domicile in ihe 5tate of Florida.
(lnsert here ary pert;nent fact;, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
, F1L A~ EC D~D
~'nter3ng children in school ~ g OK
. '~5 NOU 10 Q~~ 9: 59
. f 3.~ 1);~;
' _ . : ~ ROGch ~:,5, CLERK
_ ~ ~ , ST'. LUCIE COt1NTY, .
~ . . ~ FLORIDA
,
i FURTHER CERTiFY that i will comply with ali other requirements of a legal resident di this State.
I FJRTHER CERTIFY that I h~ve no intention to return to my former domir,ile, and I intend to remain in ~ORT
!
~ PIERCE, SAINT LUCIE COUNrtY, FLORiDA, permanent!y.
~
I _ -
~
. (Name)
i - - France~ E ~yt Trwaan
~ ~ -
~ " ' ~ ' (Address)
~ _ .
Sworn ta and subscribed before me this _~Q~~`__ _ day of ____~~d?~b92'_____y ~q~.
,
ROGER POITRAS
~L~RK CIRCUl~URT ~ Notary Publit
r ~:'-e. L_L.~C. C'-G ret' ~G-
BY D.C. My Commission ~xpires
(To be executed in duplicate and ariginal filed w'sth Clerk Circuit Court, and duplicate with Tax AssassorJ ~
g~~K 1~Q 4~ i