HomeMy WebLinkAbout2830 Decla~atlon of Domicile and Cttisenship o
14945~
TO TNE STATE AND COUNTY TAX ASSESSOR,
51. LUCIE COUNTY, FLORIDA:
This is my declaration of Domicile and Citize~ship in the State of Flo~ida that 1 am filing this day in accordance and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of ___D.l~A~~.II,_ - ~
(City) (State)
_ ROU t e 1 However I have chan ed m domiG1e . '
and 1 resided at - - - _ - - - • 9 Y y
(Street and Number) z
b and am and have been a bona fide resident of the State of Florida since day of
Jul.y 66 771 Solaz Avenu, River park
, 19-_-, and I reside at
(Street and Numbe~)
FORT PIERCE, SAINT LUCIE COUNTY, fLORIDA •
and this statement is to be taken as my decla~ation of citizenship, actual legal residence and domicile in the State of Horida.
(Insert here any pertinent fads, such as sale of prope~ty or business, o~ ~elinquishment of employment
at former domicile, removal of family to new domicile, purchase of home, etc.)
. Establishing residence ~ ~
!
~ ~ FILEO ANO RECORDED
j ST.RECORD VERIFIED~~
,
i M.~~~
'66 OCT 25 AN 9:56
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~ ~014~o~r~t
s
C~ERK CtRCU1T COURT
I FURTHER CERTIFY that I will comply with all other requirements of a legal resident of this State.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
~
PIERCE, S~4jNr~~1~l~ COUNTY, FLORIDA, permanently_
_ ~.ti •
• R~l,ph C. Eichler
~ ~ •(Name)
.
Harriette M. Eichler , ~j. ~
;_~f,, : (Address)
~ .
Sworn to and subscribed before me this 25 day of ~CtObei ~ 19 66
ROGER POITRAS
CLERK CI IT COU T Notary Public
gy • D.C. My Commission expires
(To b~ ~xecutad in dupliuM aed original ~iled with CIKk Grcuit Court, snd duplicat~ with Tax Ass~s~or.)
BOOK 157 PACE 429
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