HomeMy WebLinkAbout2550 Decla~atlon ot Domiclle and Cltizenship
15316`7
TO THE STATE ANO COUNTY TAX~ASSESSOR,
Sl. IUCIE ~OUNTY, FlOR10A:
This is my cieclaration of Oomicile and Citisenship in ths State of Florida that 1 am fiti~q this day in aooordanof and
in conformity with Chapter 222, Sectio~ 222.17, Florida StatuMs.
I was formerly a legsl resident of Ma ri e t t a ^ G ee r Q i a
, (City) (Sts»)
and 1 resided at _ 113 Hillside Ave. , . Flc"vever 1 haw chanq~d my domidle
(Street and Number) _
to and am and have been a bona fide resident of the State of Floride since lSth d8y ot
_ December , 19~l~ and 1 reside at __l_~.T j-uCex~-~iva port St_
(Street and Numbsr)
FORT MERCE, SAfNT tUC1E COUNTY. RORIDA
and this atatement is to be taken as my declaratbn of citizenship, sctual Isgal r~idenos and domicile ln the State of Florida.
pnsert here any pcrtinent facts, such as wle of property or busineu, or relinquishment of amploym~nt
~ at fomne~ domicile, ~emoval of family to new domicile, purchsse of home, ett.j
Establishing residence and applying for homestead -
~
r
FtLEO AND RECOROED ~ #
S?. LUCiE- COUN~• ~
RECORb 153i6'7
' '61 MAR 2 PM 3: 13
~p~L~ P01~RAS
" CLERK CIRCUIT COURT
,
1 RIRTHER CERTIFY that I will oomply with al) other requfrements ot a(e~al resident of this State.
I FURTHER' CERTfFY that 1 have no intention to retum, to my former domic,ile, and 1 intend to reneain in FORT
PlERCE, s~?tN~~i~ couNnr, FLORIDA, permanently. -
';:•',,:1,• ••~0~+~'i,~~~ /
~ ~ - : Q":; ~r lil~Q~i~ ~-r ~--e
_ > TR _ (Name) .
_ ~ ' ,;r~:;;:~`. : J` Charles Vavid Burford
N~,~ . Y ' ' ~
~ r ~ e,,.G~ .
-,,,t~.. Deborah Hill Burford
~ Sworn to and subxribed before me this 2~id day of ~rCh ~q 6' ,
.
ROG~ rOtTRAS
CIRCUR OURT Notary Public
~L ~
BY D,C. My Commiuion expi~es
Ro b~ ~x~arl~d In duplkah a~ ori~inal Al~d wHh Cl~lc Cira~it Co~r~t, and duplicN~ wifh T~x Awaor.)
~164 ~254?
T1 '''~a~''T"x~?.~ "cS~a „~a., y. ~ ~ W ~.r~,«,~„ .-^:'r r _ " . ' _ _ _ ' - . .
tr 'vr Li s- . -f~)~:'y<~-+- ^
.Y ~`o- ~ ~ r,rS,~ -
a
_