HomeMy WebLinkAbout1486 ~
~eciaration of ~on~eciie ~~J Ciii~~~~~~~
TO THE STATE AND COUNTY TAX IISSESSOR. 148619
ST, IUCIE COUNTY, FLORIDA:
This is my declaration of ~omicile and Citizen:hip in the State of Florida that 1 am filing this day in aao~dante and
in conformity with Chapte~ 222, Section 222.17, Ftoride Stetutea.
1 was formerfy a iagal ~esident of Sepul KQieB _
(Ciry) (Stab) ~
f
i
and 1 resided at , 10 H81~g~g01]g Flowevsr 1 have changed my domi~ile
(Streef and Number).
ro and am and have been a bona fide resident of the Siste of Fiorida since 6t1~ day of
Sept , ~q 66 and I reside at 921 North ?th street
(Sheet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA .
and this statement is to be taken as my declarotion of citizenship, actual legal residence and domicile in ihe State of Horida.
(Insert here any peninent facts, such as sale of property or busineu, or relinquishment of employme~t
at former domicile, removal of family to new domicile, purchase of home, etc.)
Bstablishing resedency
Bntering child in the 7th ~rade _
~N ~
s~.~ ~o v~ tfl~ ~
a
'66 SEP 22 ~M 8 : ~1
148s~-~
ROGER P81TRA~
cu~~rc et~au~T cou~
! FURTHER CHtTIFlf that I will comply with all other requirements of a le~al resident of this State.
j I FURTHER CERTIFY that I have no intention to retum to my former domiGi~e, and I intend to remain in FORT
PIERCEi,~;~,I~tIN~ ~ ` 1~:EpUNTY, FLORIDA, permanently.
~ .
~~;il~; ~ll;,`' .
.;ij:..~. ~C'• \ J
~~'~''~.w,y~•',f (Name)
r - ~ ' ~ _ Robert Keith
~ = • ~ = -
. ,G . ~ : = ,
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1~~~ ^ r ~ • •GD (Address)
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Sworn to and subscribed before me this 22 day af - SeptembCr• 19 66
.
ROGER POITRAS
CIRCUIT COURT Notary Public
~ 7~
BY ~''~'L ~~''~`G~ O.C. My Gommission expires
E
G Ro b~ ~x~a+hd in dupl~caN snd ori~insl fil~d rarit Cour~ snd duplicah wiTh Tax Aa~ssor.)
; ~K`~~ 2$4
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