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HomeMy WebLinkAbout1930 ~ecta~ation ot Don~icile and _Citi:enshlp 152'77'3 t TO THE STATE AND ~OUNTY TAX ASSESSOR, ~ ~ ; ~ ~ 51. LUCIE COUNTY, FLORIDA: . j i This is my declaration of Oomicile and Citizenship in tha. State of Flaida that 1 am filinq this day in aooo~danoe a~?d in confo~mity with Chapter 222, Sectio~ 222.17, Florida StetuMs. 1 was forme?ly a legal resident of Atlanta Geurgia (Ciy) (State) and 1 resided at 42 _13th Street N, E~ , F1c~„~evar ~ have chan~ed my domic,~le CStreet and Number) to and am and have been a bona fide resident of the State of Flor~da since =4 t h day of _ November , 1966 , and I r~ide ai - 1119 So Ocean Drive (Street and Number) PORT'iERCE, SAiNT tUC1E COUNTY, RORt~A and this statement is to be taken as my declaration of citizenship, actual le~al residence and domitile in the Staro of Horida. (Insert here any pertinent facts, such as sale of property or bu:iness, or relinquishment of emptoyment at former domicile, removal of family to new domtcile, purchsse of home, etc.) Establishing residence and will apply for homestead i FILED AND RECOR~F.D' ST. WCIE COUNTY. FL/?.' " RECORD VERIFlEO Y '6Z f EB I 5 PM 2: I S .152'7`?'3 ~oce~ ~ OETRAS ~ CI.ERK CIRCUIT COURT _ ~ ; i 1 FURTHER ~ERTIFY thst I will aomply with all other requirements of a le~al resident of thi: State. ~ I FURTHER CERTIFY that 1 have rw intention to retum to my former domicjle, and I intend to remain in FORT PIERCE, SAINT LUCIE COUNTY, fIORIDA, permanently, ~ 1 t r•~' '~/j` f ''`~I• ; ' .Li`~t~`~ ~Cl~ ' (Name) f `'v . - - - ` • - - erom.,e..,~ G e - ~r . i . . : , ';;I' ; lvGLv . ~j~~~' - , ~ Jadith S~Gree~ne . ~ i '~Jt~ri1'to~,e~ ~bicribed befo~e me th is 1 S t h day of F e b r u~ r Y 19~2.Z_. : , ~ . ~ Roac~ romu?s . - ~ C(RCU COURT Notary Public C~-clLt~i ~ - D.C. My Commiuion expires Ro b~ uacuhd in duplicat~ and oriain~ AI~! wHb Cl~elc Clrwh Court, and duplieat~ wiih Tax As~a ~oox 164 ~~f 19~'8 _ _ - - ~ - - - ~ ~ ~ - .°:a°s . ~ ~ - ~