HomeMy WebLinkAbout1276 ~ ~
I~ecia~t~tinn 4T DomiciiS and Citize~ship
;~S(~~i3~20 , 1
TO THE STATE AND COUNTY TAX ASSESSOR,
Si. tUC1E COUMTY, FlORiDA-
f
This is my declarotion of Oomicile a~d ~itizenship in tha State of Florida that ! am filing th;s day in aooorclance and
in conformity w~th Chapte~ 222. Section 222.17, Flo~ida Statutes.
1 was formerly a legal resident of Un1vCrSltq Height3_ OhiO
tCiry) (State)
and I resicied at ~ 2645 Y1t Utlivetsity Blvd. ~,,,~ever 1 have changed my domicila
(St~eet and Nurt~ber)
to and am and have been a bona fide ~esident of the Stete of Florida sic~ce 19th day of
- August , 19 66 , and 1 reside ar 414 Oleander Ave., River Park,
(Street and Number)
FORT PIERCE, SAIi~IT LUCIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citize~ship, actuat iegai ~esidence and domicile in the State of Florida.
(Insert here a~y pertinent fatts, such as sale ot property or business, or relinquishment of employment ~
at former domicite, ~emovai of famity to new domicile, F+u?chase of home, etc.)
HOMTsSTEAD PURPOSBS -
FILED AND RECORDE~
ST. LUCIE COUNTY. FLA.
RECOP.D V~R~FtED
- .ts~~o _
~6 hOV 29 pt~ 2: 36
~-0:~~.-~ ~-o~~?~~s
CLERK CIRCUIT COURT
1 FURTHER CERTIFY that I wi!! comply with al! other requiremenis of a legal resident of this State. ,
1 FURTHER CERTIFY that 1 have no intention to retu~n to my former domiGte, and t intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FIORIDA, permanently.
~ :
~ (Name) R e ' W. Klingman '
424 Oleander Ave.
(Address)
Sworn to and subscri~ed before me this 29th day of NOVembCi ~9 66 :
~,;~;«::Ne;~~ ' " -
\i`'. 1t ' R4f
- - L. l ~i .
ROGER POITR/l5 J ~ a~ ~
~ '•:p ; .
CLERK CIRG COURT ; :c~ . Notary Public `
BY ' ` - ~ ~ , " ~ t ~ : " My Commissian expires
"-r'. ~~tc) `G;, -
t~} - . ti
:ti,•-''~i, v' r
Ro b~ ~xecuted in duplicah and. ''yl f~.Virith ~c~t Court, a.~u plieah with Tax Assfs~or.)
j~f::l1,,:S:II~ QOO~~N,~LUU PACE /p
- - - - .
~~z ~ ~ _ `
~ ~ ~ Y~: - 'u _