HomeMy WebLinkAbout0479 Decla~ation ot Dotnlclle and Citizsnship 9
148p4~ ;
TO THE STATE AND COUNTY TAX ASSESSOR, •
's
51. LUCIE COUNTY, fLORIDA:
This is my declarotion of Oomicile and Citizenship in the State of Ftorids that I am filing t~is day in aaoordarxe and
~n conformiy with Chapte~ 22~, Section 222.17, Florida Statutes.
4
! was formerly a legal resident of P~il~..,_1 ~h~
8 pE?pn
(C;y) (Staro)
~
and 1 resided at _ 1006 8astero Rd ~,,,~eVe{ 1 have changed my domiule
(Street and Numbe~)
to and am and have been a bona fide resident of the State of Florida since _`1St day of
_ _^_June , ~966 , a~d 1 reside at Smallwood Motel- So Fed Hiwav
(Street and Numiser)
FORT PIERCE, SAINT LUCIE COUNTY, RORlDA
and this statement is to be taken as my declaration of citizenship, actual legal reside~ce and domicile in the Stats of Florida.
(Insert here any pertinent facts, such as sale of property or business, o~ relinquishment of employme~?t
at forme~ domicile, removal of family to new domicile, purchase of home, ett.)
~ntering William in the 9th grade
F11.ED AN~ REe0R~~0
s.~. ~~~~E o ~~a~~p~.
RE~eR
14~~4~p : 56
=66 AUG Z o~~~
~.i~~"'~ . r - PQ1~ R~+S
;~o`~CIRCUIT C~URT
~LERK
I FURTHER CERTIFY that 1 will oomply with all other requiremenn of a legal resident of tFiis State. ~
I FURTHER CERTIFY that I have no intention to return to my former domiCile, and I intend to remain in FORT
PIER~£, ~5/~~1!tT ~UICIE COUNTY, FLORIDA, permanently.
,`t~. ~~~;:~t
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••~.;;-;;~~~~CIJ /~i ~'U..c,.-b.i*~---~1--"`~'"'C
G'-
- ~ f ~ 4 z ~ - (Name)
~ :1 - - ~ ; c Bessie Schwanbeck ~
- y ~ r, {~1 • .
_ ~ '#i,
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(Address)
;•i~~C/G,~~•••~0~~:
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Swom to and subscribed before me this 29th day of ~1 ~uSt ~q 66 .
.
~a
ROGER POITRAS
CtRCUR COURT Notary Public
BY ~'G' ~ D.C. My ~Commission expires
(To b~ ~xscuted in dupliut~ snd ori~insl filed with CIKIc Grcuif Court, and duplicah wiM~ Tax Ass~ssor.)
8 oK 153 :479
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