HomeMy WebLinkAbout2181 ~ -~•v~v ~
Declaration ot Domicile a~d Citizenship i
!
TO THE STATE AND COUNTY TAX ASSESSOR. '
51. LUCIE COUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in the State of Florida that I am filirp this day in acoordana and
in conformity with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal resident of G~lf t~a*t MiSS ~4iUl~i _
~~ify~ (State) ~
~
and I resided at 9 53ru St re~t . However I have chanqed my domicile j
~
(Street and Number)
to and am and have been a bona fids resident of the State of Floride since 25th - day of
_ January , 19 6b ~ a~ ~ reside at 801 SoLth 12th StrPpt -
(Street and Number) ~
FORT PIERCE, SAINT LUCIE COUNTY, FLOWDA ~
and this statement is to be taken as my declarotion of citizenship, sctual legal re:idence and domicile in the State of Horida.
. t
(Insert here any peninent facts, such as sale of property or business, or ralinquishment of employment ~
at former domicile, removal of family to new domicile, purchase of home, etc.)
Homestead purposes .
~~LEO AND RECORDEB'.~ ~
S?.RECOR CVERIf E
u.
~67 FE6 22 ~3~ : 01 `
1529
. ~iOGr~P. ~OITRAS - [
C1.ERK CIRCUt7 COURT i
~
~
i
~
r
€
~
~
~ ~
~ i
~ I RJRTHER ~ERTIFY that I will oomply with all other raquirements of a leyal resident of 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 LUCIE COUNTY, FLORIDA, permanently. ~
> t
~
(Name
Carl H. Lau r
i
~
~
~ ~ (Address) f
~ ;~u:.. ~ - 3
. ~
'~vkojli t6;and subscribed before me this 22 day af February ~q 67 ,
:
, u _
- ~ ~
~ . . '~i`' ~M,~
;:.:~K:~~SIRCUIT COURT - Notary Public
_ - ,
"~.~y r~" D.C. My Commission expires
(To b~ uncuhd in dupticat~ an~ ori~inal filw~ witl~ Cl~lc Cira~it Courf. and duplicab with Tax Aa~s~or.)
aooK 164 ~~~21 r7 ?
y ~ y : j - - - - ~
~,;,=y -
qs;
~ :x