HomeMy WebLinkAbout0234 ~
D~cla~atlo~ of Domicii• and Cittzenship
TO THE STATE ANO COIJNTY TAX ASSESSOR, ;iL~~~Q
ST, IUCIE ZOUNTY, FtOR1~A:
This is my daclaration of Oomicile and Citise~ship in the State of florida that 1 am filinq this day in aoo~rda~a and
in oonformity with Chapt~r 22Z, Settion 222.17, Florida Statutes.
I was formeriy a ~efla~ resident of Barbersville w virgiaia
~
(Ciy) (Stats)
.
and 1 rosided at 220 Carper Lana . However t have chan~sd my domtdie
(Sheet and Numbe~)
ro and am and hsve bee~ a bo~a fide reiident of the State of Florida since Zlgt day of
66 908 Boston A~.e. ,
, 19 , and 1 reside at
(Street and Number)
FORT MERC~, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declsration of citizenship, actusl Iagal residence and domicile in the State of Horida.
(Insert here any pe~tinent facts, such as sale of property or business, or relinquishment of employmsnt .
at former domitile, removel of family to new clomicile, purthase of home, etc.)
Bstablishing residence and entering children~in school
Dan McCarty
Robert $arl~Hardman ia a teacher in E~ High School
a
FILED ANO RE~OR~ip~ .
ST. LUCIE C~UNTY. PtA.
RECOR~ VERIFIED `
~~1C~pOY.~~
.'S6 AUG 22 PM Z: 42 ~
i
~ - - ~:o~~~`~!dr~~'~
~ CLERK CIRCUIT COURT '
I
1 RJRTHER CERTIFY that I~II comply with all other requiremenis of s leqal resideM of this State.
I FURTHER CERTIFY that I have no intention to retum to my former domicjle, and I intend to remain in FORT
F~ERCE. SA?~N~.WC~E COUNTY, FLORIDA, permanently. _
,.`.~~tittf.l~Nl.~ill~~t`~,f- . O
'1ti0.~U~!3T# CO ~1
f~ ~
? s l
i J.~M r c~~~~ -
' ts ;'S ~ ~ ~ (~1em~) - -
~ ~ . ' ,o:'~; Rabert Barl nardman~
= t~': ~c-'R~:-':~~-r ~ : ±t:
z:.:. ia • S a~ ; ~ -
. ' ~F-i ~ - f w;;. ~y ~
~ ~S~ 1~ _
~ :.fw ~CI!@SS~
,;~rU. •,..~CO,,`,.~
.,,C~E_ ~ ~t,..•~
~ , ~1' y
S'~1 '~o and subsuibed before me this 22nd day of August ,~q 66
~ tORR/1S
CIRCU URT Notary Public
a'`'~'~'L ak'`'~'~ D.C. My Commiss'wn expires
Ro b~ ~acuhd ia duplicab snd ori~tnal Al~d with C{~ic qrsuM Cou~t, and duplieaN wilb Tax As~or.)
~ooK 153 2~34
~ _ _ _ _ _ ' - - a;~ .,~p~, .
_
~t