HomeMy WebLinkAbout2501 De~l~ration ot Domtcil• and Citizenship
TO THE STATE AND COUNTY TAX ASSESSOR, 153125
Sl. IUCIE COUNTY, FLORIDA:
Thi: is my daclaration of Oomicile and Citi:enship i~ the State of Florida that 1 am filinq this day i~ aooordanq and
in aonformity with Chapter 422, Saction 222.17, Flo~ida Stahrtes.
I was fo~merly a legal resident of . New York Litv ~ Np.~. v,~=~
(Cjty) (Staro)
~
and I resided at 210 B 68th StIBCt , Flowever i have chanqsd my domiCik
(Street and Number)
to and am and have been a bona fide resident of the State of Fiorids sinoe 29tb day of
March , 19 66, a~ ~~i~ ~ 9403 So Indian River Drive ~
(Sheet and Number) ~
I~ORT PIERCE, SAINT LUCiE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, sctual Isgal re:idence and domicile in the State of Horida.
(Insert here any pe~tinent facts, such a: sale of property or business, or rolinquishment of employm~nt
at former domicile, romoval of family to new domicile, purchass of home, etc.)
Applying for homestead and estgblishing residence
FILED AND RECORDEO
ST.REQOE D VuNI YED~~
_ 1~3~~
'67 MAR I PM 3:35
..~r~
f f:OGCc: ~OITRKS
CLERK CIRCUIT COURT .
~
E
1 FURTHER CfitTIFY that i will oomply witfi all ofhe~ requirerrie~ts of a le~sl resident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicile, and I intend to remain in fORT
~ PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
~
,vvt , ~ J•'. . ~ . SC„
; c~~~, (Name)
".lc~.•.
j~ ` : ~::.r'~~4;-~•_ Dr. Henri Gendron
J i _I•_ I : ~ i
l ~ - ' '~~I~i-~-a~
= : •7;~t~'lu.:~ ~ -
•I~` ~ , 17 f ,~~_'f . ~ • ~ _ ~
[J~ _
. •o. ~ Annette Gendron
;~:r 'G
Svildrn
~ta •atid subscribed before me this 1~ dsy of Ma rc h , 19_5.7
ROGER rOITRAS
CIRCUR COURT • Notary Public
~
gy ~ ~.C. My Cortemission expires
t
~
i Ro b~ ~x~cul~d M dupNcat~ an~ ori~inai fii~d witl~ Ct~k Circuit Coue~, and dopliaa wilh Tax Ast~s~or.)
' aooK164 ~2498
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