HomeMy WebLinkAbout0604 143323
Declaration ot Domicile and Citisenship ~
TO THE SIATE AND COUNTY TA~ ASSESSOR, ~
Sl. lUC1E COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filing this day in actordanos and
~n conformity w+th Chapter 222, Sec~ion 222.17, Florida Statutes. ,
1 was formerly a legal ~es~d~,t of - wtiites_,_ _ _ Georgia
- (City) (State)
General Lelivery .
and 1 ~esided at _ - However 1 have changed my domitile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 1 day of
March 66 General Delivery
- , 19 and 1 reside at ~
(Street and Number)
Orange ~enue ~xtension
FORT PtERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of property or business, o~ relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
F«E~ AND RECORDED
Bntering Terry Lee Dyer i~ 3rd Grade ~~E~~_
a00
.
'06 t~~ 1 9 ' Oy
RosT ~ n:~~43ERK3
. LUCIE COUNTY.
FIORIDA ,j~,~;,`~:~:,,;;-~;,:~ ~
~ •=,,.e , ' . j. ; E
07 ` 1
~ a ~
t.~'`fi` i
t . ~~,.I "``--~~f _
~ • o •~1:: : •
~ „ . .
1 FURTHER CERTIFY that I wil) comply with all other requirements of a legal reaident
~h`~1~~~~.f`~ _
; n; r` - ,ti
. ~
~ , ' . ir
r
I FURTHER CERTIFY that I have no intention to return to my former domiCile, and I int~ 'fa~Y+emain in'FORT
r:,,
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
'w;~vki%:~ :J _ -
• ~~.s~.~~~i
.v :'••:~:~:N •.4;~- ~ (Name) ~
. y: ,'~.f"; -~:,aa3,~.~y`. _
's'`,7~'~: '"~~'~~G : - i
• - Austin Dyer
r, - ~ z -
y~ .~,,&_,.~:1` : ~
~;:k ~'k~. `Y,}y•p=.~..; ; (Address)
~ .;~~p.y•~X,.`~.~ • ,
R .I~-~~•'~1 -v j' '}S' i • ~ 1~
' • ~ j ~ ~~t1 .
~ ` ? March 66
~`~o and subscribed before me this ' day of ~q
''~lr.~r::~...,•• , .
ROGER POITRAS
CIR COURT Notary Pub(ic
BY D.C. My Gommissian expires
Ro b~ ~x~cuhd in duplicah and ori~nal Al~d with qKlc C'ir~arit Court, and duplicst~ wiNt Tax AsMSSOr.)
daoK ~40 . 1 '
~~n
~ ~ ~ ~ * , ~ ~
u ~ ; 5 -