HomeMy WebLinkAbout0389 ~ ~ Oeclar`ation ot Domicile and Citi=enship
TO THE STATE AND COUNTY TAX ASSESSOR, .1$'
Sl. LUCIE COUNTY. FLORI~A:
This is my declaration of Oomicile and Citizenship in the State of Flo~ida that I am filinq thi: dsy in aooordance a~d
in oonformity with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal resident of Hillsboro New Hampshire
(City) (State)
end 1 resided at Generai ~livery . However I have charqed my domicile
- (Street and Number)
ro end am a~d have been a bona fide resident of the Stste ~of Flotida since lst day of
December , 19 66, a~ ~ reside at 301 North 23rd street '
(Street and Nur.~ber) -
~
fORT M~C~ SAINT LUCtE tOUNTY, RORIDA
and this statement is to be taken as my deciaration of citizenship, actual legal residenae end domicile in tfie State of Horida.
- (Insert here any peninent facts, such as sale of property or business, or relinquishment of emptoymant
at former domkile, removal of family ro new domidle, purchsse of home, etc.)
Entering children in school F~LEO AND R 0
ST. ~UCIE C~~ ,
RECORD VERIFI~~'
~ j.5i `~~5
~l JAM 10 AIy 10 2
CLERK C RCUIT COU
RT
;I
i
,
~
I RIRTHER CERTIF1f that 1 wlll oomply with all othsr requirerr~enis of a le~ai resident of this State.
~
' ;
I FURTHER CERTIFY that 1 hav~no intention to retum to my former domivle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTI(, FLORIDA, permanently. ~
,;~~~.:isr~ .
Y ~ .
; ~ : ~ ~ ~
' - ~ %f' ArthurM~ayens
• • -i-
' ..y . ? t~ •
- .n~ ~ . . ~ _ (Address)
~ - .
. :s,• ~ .
Swotn~toand s'ubicribed before me this lOth day ~ Jatluaiy 19 67
~
Roaee romu?s .
CIRCtI1T Cp RT Notary Public
_
gy O.C. My Commiuion expires
(To b~ ~x~cul~d in duplicah and ori~inal fll~d whh C{~Ic qra~M Couet, and duplicat~ wiTh Tax At~or.)
sooK 164 ~ 387
- - _
ry1~s _
-