HomeMy WebLinkAbout2059 Qe~iu~ation ot i~oinicile a~d Citisenship ~ ?
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TO THE STATE AND COUNTY lAX ASSESyOR,
51. WCIE COt1NTY, FIORIDA: '
This is my declarat;on of Domicile and Citixenship in the S'ate of Flotida that 1 am filing this day i~ acco~dante and
in to~forrreity with Chapte~ 222, Section 222.17, Florida Statutes.
- Feura Bush, ~'J
1 was formerly a legal resident of _ Alb8i1~? COUDt~1 a__ ` NeMT YOrk
(City) (State)
and 1 resided at ---_-B rown ri gg Road -~oowpver ~ have cha~ed my domicile
(Streef a~d Number)
to and am and have been a bona fide resident of the State of Florida si~ce _~_____~~~~L_ ~dth day of
_ _October . 19 66 , and ~ reside at 150 S. Bntrada Ave.. Port St. Lucie
(Street and Number)
WRT PIERCE, SAINT LUCIE COUNTY, FLORIDA
end this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Hotida.
(Insert he~e any pertinent facts, such as sale of property or business, or relinquishment af employme~t
at former domicile, removal of famity to new domicile, purchase of home, etc.)
HOMESTEAD PURPQSES
ST~CEp ~,Np
LUCI RFC
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I FURTHER CERTIFY that J will comply with al) other requirements of a 16ga: ~esident os ::yis State. ~
I fURTi~tER CERTIFY that 1 have no intention to retum to my former domi~ile, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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``~~~;~t!=tt!t~r,;. _ (Na uncan G. Rankin
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J.;~j~~• it~L~•.:-;~; 150 S. Bntrada Ave., Port St. Lucie
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13th '
i~,Svyo~v~ to.arr~~a~s~~ibed before me this day of ~cember , 19 b6
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R4QrE~~P~~`fRAS ~
CLERK ~IRCU COUR? Notary Public ~
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BY D.C. My Commission expires ~
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(To be exacwed in derplicats snd or+ginal f~led with Ge~lc Grcuk Cour1, and duplicst~ with Tsx Assestor.)
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