HomeMy WebLinkAbout1841 Declaration ot Domlcile and Citiz~nship ~
TO THE STATE AND GOUNTY TAX ASSESSOR, 152'~'16
Si.,IUCIE COUNTY. FLORIDA:
This is my declaration of Oomicile and Citizenship in ths Stats of Florid~ that I am filiny thi: day in aooardanoe and
in conformity with ~hapte~ 222, Section 222.17, Florida Statutes.
I was forme~ly a legal ~esident of Richmond VirQi~liB
(City) (Stah)
and i ~esided at 7515 Donder ROad . Howsver I have chan~sd my domic3le
(Street and Number)
to and am a~d have besn s bona fide resident of the Stab of florida sinos 1St day of
October _ ,~q 66, and 1 reside at tt+ 2 Ac~Y ~?~a R~ r~.tieWaod..~&r~.--=
(Straet and Number)
FORT PIERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my decfarotion of citizenship, actual legal residence and domidle in the Stats of Horlda.
(Insert here any pertinent facts, such as ssle of property or busine:s, or relinquishment of employment
at former domicile, romoval of family to new domicile, purchass of home, etc.)
,
Establishing residence
F~LED AND RE~pRp 0'
ST. LUCIE COUNTY~ I~q,
RECORD VERIFIED
'6T -'~O
FEB I i pN I~ 36
52'7'16
~OGEr~ i•OITRAS
{ CLERK CIRCUIT COURT
1 fURTHER CERTIFY that I will aomply witfi all other reqvirements of a leqal resldsnt of thi: State.
1 FURTHER CERTIFY that I have no intention to retum to my former domitile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. ~
.``,~`,;~tlilii~)r,-~~~~,,s .
_ . , _ : L~O~V'Y _
~~;:,:Cp
;~T ~Fri~~~F.
_ ~ ' ~
'c~ `t . Herbert ~;~utler
- :r ~ ' Q"'~: - - . J~f n ,~.~p
. t1~ • - ~ • ' , ..t.a~~ /fV . ' ~r.~J~~?i
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. . •
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.("c.' 'GO -
Bessie D. Butler
.Swor'n ~fo and subsuibed befo~e me this f~~' 13 day of February , ~q 67 ; ~
ROOER PORRAS
CLERK GRCU COURT Notary Public
a.c.lc-L i ' ires E
gy O.C. My Gomm uion exp
(To b~ ~aevl~d in duplicat~ and ai~inal fil~d wi11~ CIKic GrcvN Court, and duplie~t~ wilh Tax AtNwor.)
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