HomeMy WebLinkAbout2611 Declaratto~ ot Domtcile and Cltlzenship j53206
TO TNE STATE AND COUNTY TAX ASSESSOR,
Sl. UKIE ~OUNTY, FIORIDA:
This is my declaration of Oomicile and Citizenship in ths State of Fla~~s that I am filing this day in acoordance and
in oo~formity with Chapter 224, Section 222.17, Florida Statutes.
I was formerly a legal resident of Winter Garden FlOrida
(City) (Stat~)
e~d 1 resided at _~29 South S~reet . However I hsv~chanqsd my domiCile
(Street and Number)
to and am and have been a bona fida resident of the State of Florida since day of
_ November ~ ~q 65 ~ and 1 reside at 2802 Ave I
(Strest and Number)
FORT PIERCE, SAINT LUGIE COUNTY, FLORIDA
and this statement is to be taken as my declaration of citiZen:hip, actusl legal residence and domicile in the State of Horida.
(Insert here any pertinent facts, such as sale of property or business, or relinquishment of err?ployment
at fo~mer domicile, removal of family to r~ew domicile, purchase of home, ett.)~
~stablishing reseidence and applying for homestead
FI~EO ANO RECOROEO ~
ST. WCIE COUNTY. F(,~?,'±
. RECORD VERIFIED
1532Qs
~ '61 ~R 3 PM ' 2: 0 I
~
s~O~ER r OITR~S
CLERK CIRCUIT COURT
I FURYHER CERTIFY that 1 will aomply with all other requlrements of a le~al resident of this State.
1 FURTHER CERTIFY that I have no intention to retum to my former domicjle, and 1 intend to remain in FORT
PIERCE, SAINT IUCIE COUNTY, FLORIDA, permanently.
.
`;~ut::i:t~r;1"::
: ' ti '•;..°f~ - • . (Name)
•t•, ' Reuban Mc Phee _
; c:` - G.',: . . ~
_ i . h.,_. . ~ , S
~ _ ~ , j-; : _ i
- ~ • Grace N1cPhee (
_l •
. _ March 67 ~
b~ovQrn.ta.snd suburibed before me this 3rd day of , 19 . ~
-
ROGER rO1TR/1S -
CIRCUR ~OURT Notary Public
/D
gy D.C. My Commiuion expires :
;
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(To b~ ~x~culwl in duplicab and ori~ieal fi{~d whb CINIc Gra~it Co~r~, and dupl~ut~ wi~ Tax Aa~ssor.)
a~K164 ~E2608
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