HomeMy WebLinkAbout1991 Declaratlo~ ot Domicil~ and Citizenship
l~~is
TO THE STATE AND COUNTY TAX ASSESSOR~
Si. tU~IE COUNTY, FLORIL~A:
This is my declaratiqn of Domicile end Gitizenship in the Stats of Florida thet 1 am filirp this day 1n accc~dano~ and ,.r
.
in conformity with Chaptsr 22Z, Ssction ~22.17. Florida Statutes.
I was formerly a legai ~esident of - Pirleal8 North Ca~,olina
(City) ~ (Sta»)
and 1 resided at BO?~ 77 , Flowever 1 hev~ than~ed my domit3l~
(Street and Number) ~
20th
to and am and hsve been a bona fide r~ident of the State of Ftorida sinoe day ot
December ~
I'l~IIe~!!II , ~q 66 , and I reside at _ Nn Frsd~ Hirrav ~ RnY ~(10 R~~[~OP~IAS'~'~+ Rd
(Street and Number) ~
~'ORT PIERCE, SAlNT tUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of titizenship, actual legal residenos and domitile tn the State of Horida.
(insert here any pertinent facts, such as ssle of propeny or busineu, or mlinquishment of employmtnt
st former dornicile, romoval of family to r~ew domiclle, purchase of homs, etc.) .
- Establishing residenceq .
FILEO AND U~Y FLA•
ST~RECO 0 VERIF~ED
:
'6T f EB ~ ~ pN ~ 0 -
152816
~~Q"~R c~,T COURT
CL.ERK CtRCUIT
1 FURTHER CHtTIFY that ( will aompiy wiffi alt ofher requiremenis of a leyal resident of thi: Staro.
1 FURTHER CERTIFY that I have no intention to retum to my former domivle, and 1 intend to remain in FORT
PIERCE, SAINT LUCIE CGIUNTY, FLORIOA, pe?manently.
~
(Nsme) .
~
';"~:...~C~~`',, Ira M. Vance
~ v `j' . ~
~fJ``'i
~
~ _ ~ ' ' t~ (AddfesS)
" j~. '
C'` • ~ •
~ - - 1
~ 17th February 19 67 f
r~; ..,.Sworir~~aPd subscribed before me this day of ' ~
~ .~C.~\~~.
.
- ~'•'r•nutt~~'~~ ~
• ~~S ~
CIRCUIT OURT Notary Public ~
~~~,~C,G ~
B D.C. My Commiu"ron expires ~
ao b. .x.wha lp ~cat. .nd o~i~inal ~iMa~~Cf~C ~,i~~~ f,~iwt, .na dupuuf. Tax As~.ao.a
eoac n~1 ~ ,
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