HomeMy WebLinkAbout1745 iso~~2
_ Declaralion ot Domic~le and Citisenshlp 1~8~
TO ~HE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FtORIDA:
This ia my declaration of Domicile and Citizenship in tha State of Ftorida that I am filing this day in aooordance ar~d
in co~formiry with Chapter 222, Sec~ion 222.17, Florida Statutes.
I was forme~ly a legal resident of ~'~~`I~IrD _ W. YA. _
(Ciy) (State)
and 1 resided ati?18 _CQll@gC Ave. - However I have changed my domicale
(Street and Number)
to and am and have bee~i a bona fide ~esident of the ~t~te of florida since .____l8t day of {
i
23rd
A~]Cil _i, 19 66 , and I reside at 201 S. 8$st St.
(Street and Number)
FORT PlERCE, SAINT LUClE COUNTY, FLORIDA
and this statement is to E+e taken as my declaration of citizenship, actual legal reside~?ce and domicile in ihe State of Horida.
(Insert here any pertinent fads, such as sale of property or business, or relinquishment of employme~t
at forme~ domiciie, removal of family to new domicite, purchase of hame, etc.)
~ FIZIfi~T FOR HOMBSTSAI) PURP03SS ~
/~.L -
FILEO A~~D RECORDED FtLEO ANO RECORDEQ
ST, I.IfClE COUNTY..FLA. ST. ~UCIE COUNTY. FLA.
- - R~COFC V~RIFIEO ~,n„
REC,;~._, L_~IFIED
150~~2 _
'~6 Q~C S A~1 ! I: 49 'b6 QEC 9 A~t t 0
- 150480
:io:,~ i- : ~ r::.;
CLERK CIRCIiIT CQURT "L'=` t ~17r~.:.S
CLERK CIRCUiT COURT
T his instrument is being re-recorded to show corrections of
past and present addresses-
t FURTHER CERTIFY that I will oomply with al) other requirements of a le~a! resident of this State.
1 FURTHER CERTIFY that 1 have no intention to return to my former domic,ile, and 1 intend to remain in K3RT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permane~tly.
(Name)
. , ~ ~+t f,~r, RIITH T . 1P~GO1~E$
~ . -Y
e ~y Ca ~,f~`
- _ ~`-•.G;~
' ~ ~ (Address)
. _ ' f % ~
~r .'...j ~
~ i Sth Decea?ber 66
,Swor`n to.and subscribed before me this day of , ~q
_ - ~ . .
~ - - .
4 vr~' • ~ ROC~f~t- PO
ClERK RC IT OURT Notary Public
.
BY D.C. My Commission expires
Qo bs ~xecutad in duplicate and original filed wiN~ CIeAc Grwit Court. and duplic~te witb Tax Asssswr.)
~n e~~+ ~
600K~UtJ PAGE e)zs BGOKIVO FACE
~ - ~
3 g Y
y ~S ~l ~.4 ~v "w ..~~i
~
~Eg~il 6~, -~~~}~,L ~
~n' ,.3 .e..i.''~...5