HomeMy WebLinkAbout0679 Deala~atio~ of Damlcil~ and Citis~~sl~ip ~
~ .151954
TO THE STATE AND COUNTY TAX /1SSESSpR,
Si. Ll1CiE GOUNTY. FIORIDA:
. ~
This ~s my dscla~ation of Oomicii~ and ~tiz~~ship i~ th~ Stat~ of ~IoNcls fhat 1 am filirp this day in sooordanq and
in conformity with Chapter ~Z2. Section ~22.17, Horida Shtut~s.
. n+~
I was formeriy a i.qal rosid.nt of _ .Tesaup G~orgia
(Ctty) (Stat~)
and 1 residad at 124 Bast Plut~ , Ho„vwK 1 have charpsd my domidle
(Stre~t and Number)
~
ro e~d am and hsve been a bons fids ~esident of the State of Floride sinoe 14th ~ ~y ~
January ~ ~q 6? ~ e~ at B~uef ield Rd, Rt 1 ,
(Street and Numbsr)
FORT lIERCi, SAitrT lUC!! COUNTY, RORIDA ~ -
and this ststement is ro be taken as my declaration of citi~snship, actual Isgal re~idenos and cion~icile in the State of Horida.
(Inssn here any ~perttnsnf facls, such as sale vf propetfy or bustness, or rolinqui~hment of employm~r~t
at forme~ domiciis, removal of family to r~ew domidle, purchase of horns, stc.)
Bntering children in school
Husband works for Bvans Properties and has been here since the
ist of the year. ~
AN~ RE~~C~~~
- 8T• EC R~
y~'K~'Y~~ ~
. ERIRI~~ ~
~ '~l ~ ! j51954
~ ~ 9~ la
. ROG~~~
. . c~RK c
R~~~ ccu~.
1 FURTHER CE~tTlFY tha! ! wlll oomply with all other requiremsnts of a lepal rosident ort this State.
I FURTHER. CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
. _
PIERCE, SAINT;~~,COUNTY, FLORIDA, permanently.
t\N11t/ilt~;
:i,`~y~-i :~Jr'+•y,`'~:. " ~
~ ~ . ~ ~7 LG~. ~1'~ .~~1
.L~~.. _ •
' i_ INrs Carrollame)_ biey ( Leona )
- - ~ ~ Mo
- ~ ~ - t.a: '~-.-i` . ,
'r . "G' . . • ~ o-~ -
` ~
~ ~t~' (Address)
- - . C'~':,
Swofh'~~p'ed:3ubsu;bed before me this 17th ~y Jaflaur9 y 19 b7
ROti~ r0lT~AS .
CiERK CIRCUIT ' Notary Public
BY- - D
G. My Gommission expires
(Te b~ ~aiNd 1w d~plieaa anil arioiaal tU~d wi1G CMrk C~narh Ceuet, aad d~plka~ wfN~ Tax As~ora
ea~c164 ~ 676
- ~ - F _ - - - - - - _ -
;s _ ~ - > - - ~