HomeMy WebLinkAbout2343 Oeclaratton ot Do~nlcile and Citizenship
153016
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. IUCIE COUNTY, FIORIDA:
This is my declaration of Domicile and Citizenship in ths State of Florida that i am filin9 this day in acoo~danos a~d
in conformiry with Chapter 222, Section 222.17, Florida Statutes.
1 was formerly a legal reside~t of _ Stu~?veSan~ New YQrk
(Ciy) , (Sta») .
and 1 resided at ___~harptown Road . However 1 hsve chanQed my_domic,ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since - 15th ~ day of ~
_ November ,~95~~, a~d I reside at _ Beau Riva~e Route 1, Stuart,~F orida
(Street and Number) 1
iORT PIERCE, SAINT lUC1E COUNTY, RORIDA
and this statement is to be taken as my declaration of cititenahip, actual legal residente and domicile in the State of Horida. ~ ~
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of employment
at former domicile, removal of family to new domicile, purthase of home, etc.)
Establish Residency ,
F1LEt~ ANp RECOROEa
ST, LU~IE eOUNTY. F(,p
!?ECORp Y~RIFIED ~
~
67 FF8 27 AM ! I: 39
-l53a16
CI.ERK CIRCUIT COURT
1 FURTHER ~ERTIFY ~
that I will oomply with all other requiremenri of a legal resident of this State. ~
. ~
1 FURTHER CERTIFY that I have no intention to return to my former domicile, and I intend to remain in FORT ;
i
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently. !
aw~ ~ i
(Name) ~
Charles S. Lyon ~ s
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(Address)
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~tai~u:::.:1.~ ~
~ T,~ 27th , ~
z ~r ` November
?,Yb,~ subxribed before me this day of , ~q 6? ~
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• D.C. My Commission expires
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(To b~ ~x~a~tsd in duplicat~ ~nd oripinal Rl+d whk Ge~lc Gra~it Cou~f, and dupl~ca» wiN~ T~x Assasor,)
eooK 164 ~
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