HomeMy WebLinkAbout0291 Declaration o! Domlcite and Citizenship 4
~ ~ ~47"91'~
TO THE STATE AN~ COUNTY TAX ASSESSOR,
Si. LUCIE COUNTY, FIORIDA:
~his is my decla~ation of Domicile and Citizenship in the Stste of Flarida that 1 am fili~g thit day i~ sco~danos and
in conformity with Chapter 22?, Soction 222. i 7, Florida Statutes.
I was formerly a legal resident of CStlett Virainia
(City) (State)
and I resided at ROtltt i4~2 Hawever i have changed my domltjte
(St~sot a~d Number)
to and am and have been a bona fide resident of the State of Florida since lSth day of
-july , ~q 66, a~ at _ 1914 3. 29th Strt~et
(Street and Number)
FORT MERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residenoe and domicile in the State of f-iorida.
(Inse~t here any pertinent facts, such as sale of property or business, or relinquishment of employment
st former domicile, removal of family to new domicile, pu~chase of home, etc.`,
TO BNTBR CHILD IN SCHOOL
Robert Andrew Paraon~ 9 yr.
P~lE6 ANa RE ~
ST. LUCiE C~UIIF~,
RE RD VERIFIEO
`_~rl~
'66 AIfG 2 4~ A~~t~
I I: 14
14'~917'
roc~a, ~-o~rRtis
sIERK CIRCUfT COURT
I RIRTHER CER7IFY that I will oomply witfi all other ~equirementt of a lesal resident of this State.
f FURTHER CERTIFY that 1 have no intention to retum to my former domicjle, and I intend to ~emnin in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
' ` ~~~-~i~~rL
(Name) ~s• Paith Paraons
1914 S. 29th Street
- (Address)
Swom to and subscribed before me this 24th day of - AuguSt ~q 66.
.
\,`~1~::alitiilJ/~~~/ .
ROGER POITRAS ``~~~r~
~ O~ y,~~/
CIRCUR COURT ~ f,.~`Q~Q =ti~
~ ~ Notary Public
. G
:
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BY ~t tc~ l My Gommission expires
: - " . • . ~ ; V ~
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Ro b~ ~c~cut~d in duptiealijy - Cf~ei~ Grwh Cou~, and dupfica/r wilb Tax Atr~»»or.)
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