HomeMy WebLinkAbout0603 DeClaratio~ ot ~omicile and Cit~sensbip 1~~~?~r
~
' f0 THE STATE ANO COUNTY TAX RSSESSC)R:
Sl. LIKIE GOUNTY, FlORIDA:
~
This is my declaration of Oort~~cile and Citizenship in the State of Florida that I am filing this day in accordarxe and
~n co~formiry with Chapter 222, Section 222.17, Florida Statutes.
1 was fo~merly a legal resident of _ GT8 nd Ra~pids T_ M~~~i QA~ _
_ (City) (Staro)
and 1 resided at _ 16 52 Ro y a 1 Daks ~ S• W•-----^--- ~wevef 1 have changed my domitile
(St~eet and Number) ~
tQ and am a~d have been a bona fide resident of the State of Fla~rida since _^;~-__-_1 day of
_ ovPm~,r , 19 6~nd I reside at ~ -BY-:
(Street a Number)
fORT PIERCE, SAINT L!l~IE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actval legal residence and domicile ir1 the State of Florida.
(lnsert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to ~ew domicile, purchase of home, etc.) ~
.
o~
v~
c~
Enter ~ng Lori Robb in Sth Grade ae'.
- ~Q
r~ ~ ~ °~m~
~ oc~v
co
. ~ ~ ~Z~
CN~ ~ ~~B
~
-si ~ ~
g.4~
,
~
.
~ .
~
1 FURTHER CERTIFY that 1 wil{ comply with all other requirements of a legal resident of this State.
1 FURTHER CERTIFl( that 1 have no intention to return to my former domiG!e, and I intend to remain in FORT
' j
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
' ,t ~ .
. ~ v
,,:i.:ti:::;;;.~
~ ' , ...{C ~ ~Na~
~)~'..:..C1~.;'-. ~~1
l i~Ll~, r•,~ f
o
; . v ~ w-
~ _,'~.~.~....•s--;~t~L'<,~.,~•~= Bonnie . Robb
~ _ 1r•__ :-~w G~; ; (Address)
~ y r;~~~- r'~ -
~ ' ~
~ .~%$~~ri ~r y~Ye~~b~ibed before me this 1'4 day of Novembe* ~ ~q 66
~I.E;~~ `
~ f~~:::~~??~`~'.~
~ ~:s«-- _
~
ROOERr~PORRAS
~ CLERK C CUIT COURT Notary Public
gy C~~ D.C. My ~ommission expires
~
(To be wcecat~ in aupiicab snd ori~ina! filed with CIKIc C'ira+it Court, and dupliut~ with Tax Assossor.) -
a~ 159 ~ 3 _
g ~ ~ _ . _ . _ . . . _ _ _ ~ . ~ ~ . _ _ ~
~1e N.
~ ~-~±±yy '~iIl3S ~~'h~# *aM~•~ .~`'~"4.~',`
~ S ~t'~ 2~~ ~ a~yy;c+Y~' , ~
s ~ v. ~
- - zt x ~
-
_._.e,.t. . _ .
-