HomeMy WebLinkAbout1248 ` " - ~
Declaratjon ot Domlcile and Cltizenship ~
TO THE STATE AND COUNTY TAX ASSESSOR,
` 1 ~3': (1-~
Sl. LUCIE COUNTY, FLORiDA:
This is my declaration of Oomicile and Citi2enship in the State of Florida that I am filing this day in accordance and
in conformity with Chapte~ 222, Section 2~2.17, Florida Statutes. ~
;
a
i
I was formerly a legal resideM of _ Da V tOI1 Oh10 ~
(City) (State)
and 1 resided at _ 3225 S Dale Drive However 1 have changed my domiti~e ~
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since 20 day of
_ Aug_u_st ~q~65~ and I ~eside ar Star Route. Jensea Beach,
(Street and Number)
end of Beatrice Dr,
fORT PIERCE, SAINT tUCIE COUNTY, FLORlDA St. Lucie Courltry Club
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pertinent facts, such as sate of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
~stablishing residence
FILED AND RECORDED j~`',-.;.
~•a _~~~900K • " ,
,
or.,d~r,~~` ' ~ .
'6 MA~ I 8 PM 2 : 45 ~ - = 1 - _ _
1 ,•yt _ ~-,-':i i s~~.ti ~ ~6?;.
' - Y
~ z~ :
~ ~ r ~ A ~t~~ ' ~?1~:,j yi A ~
ROGE ~f~. ; i...5 C . ;
~ -
••t t ~ f'.
~ " ST. LUCIE COUNTY. r ~ ~
F~ORIDA .
E
; l FURTHER CERTIfY that 1 will comply with all other requirements of a legal resident of this State.
~ 1 FURTHER CERTIFY that I have no intention to return to my former domiple, and I intend to remain in FORT
~
~ PIERCE, SAINT tUC1E COUNTY, FLORiDA, permanently.
~ ~.5~:'r"Ti~:r~~ ~ '
.Z~~-'
~ • J ' (Name)
E . . .
~ . ~ ~ .
~ ~ ~ ;i~~ Waldo H. Zander
• _
. ~ ~ •~r ~ (Address)
• ~ ~
~ , Ig
'~~yrotK:f~l~nd subscribed before me this day of _ ~rCb 19 66
;~t.tltrJ!{i~~i~ ~
ZG. d. .
~ ROGER POITRAS
~ CLERK C UIT COURT Notary Public
~
BY r D.C. My Commission expires
(To be ex~cuted in duplicats sed orisinal filed with Clerk Grcuit Couif, snd duplipts with Tax Ass~ssor,)
~oox141 , . 46
r~~.~ :