HomeMy WebLinkAbout1908 P
D~claration ot Do~nlctfe a~d Citi~enshlp 150~4
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LlK1E COUNTY, fLORIOA:
This is my declaration of Oomicile a~d Citi=enship in ths State of Flo~ida that 1 am filing this day in aooo~danoe and
;n conformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resider~t of Yiddletown _ Del•
(Ciry) (Staro)
and 1 resided at 35 E88t ~ieiAe~A/N . Hor,~ever 1 hsve changed my_ domidle
(St~eet rnd Number)
b and am and have been a bona fide ~esident of the State of Florida since dey of
_ necem~er , ~q 66, and 1 reside at Rt 3 So][ 183 Copenhaver Rd
(Street and Number)
FORT PIHtCE, SAlNT LUCIE COUNTY, RORIDA
and this statement is to be~taken as my declarotion of citizenship, act~al legal ~esidence and domicile in the State of Florida.
(Insert here any peninent facts, such as saie of property or business, or retinquishment of employment ~
at former domicile, removai of famity to new domicile, purchase of home, etc.)
~mith -
Ehetering Johnny Brett in the 3rd grade -
F~~EO AND RECORDEO
_ ST. LUC~E COUNTY. ~~q,
- s R~CO~'~ I~ERIFIED
'~s ~Fe i 2 ~r 9 : s3
150694
~~o~=~ r-vt~f~~s
C~ERK CtRGUtr COVRT
I RIRTHER CERTIFY that 1 wilt oompty with all other requirements of a(egal resident of this State. ,
1 FUR7HER CERTIFY that I have no intention to return to my former domiGle, and I intend to remain in FORT
PIERC~, SAIM•tUCIE COUNTY, FtOR1DA, permanently.
:?~,:;t: - - .
1"~. . '
• . ~ J~~~C~ ~~I~~
? . • 4 I ~ (Name)
~r : _ ~ George Futch .
:
- .
- ~ (Address)
, ~.a 1
i
Swom~to~ ansi subscribed before me this ~2th day of Deeemb4T 1966 ~
. , (
- ~
,
R ER POITR145
CIRCUR URT Notary Public
B ~~r D.C. My Commissiori expires ~
. - t
(To b~ ~x~at~ed in dupiicate and oriyinal fited with C{Klc Circuit Court, snd duplicsh with Tax A~es~ot.)
- Q00!( PA6E ~O6
_
4 s~-~x _ . _ - - _
. w ,4'x'm""~'~~:.'
I ~'Y ~o-;+4~-
.t . . .,v
w:t-i -