HomeMy WebLinkAbout2646 ~eClaratio~ of Domicfi• and Citis~nship
153~33
TO THE STATE AND COUNTY TAX ASSESSOR,
Si . lUC1E COUNTY, FIORiDA: _ ~
This is my decla~ation of Oomicile and Citizenship in the Stats of Florida that I am filin~ thii d~y in aooordanos and
~n conformity with Chapter 22Z, Section 222.17. Flo~ida Statutes.
1 was formerly a legal resident of ChiCSgO I113nOiS
~ (Ciry) (Sts»)
and 1 resided at _ 4:?^ N Kenmore . However 1 havs chanqad my domkile
(Street and Number)
" 4
to and am and have been a bona fide resident of the State of Florids since day of .
Irlarch ~ 19 6?~ e~ ~ reside at ~ 2110 St,Lucie Blvd
(Street and Numbe+r)
FORT ~IERCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken aa my declaration of citizenship, sctual leyal residenu and domicile In the State of Horida. _
(Insert here any pertinent facfs, such a: :ale of property or buslneu, or relinquishment of employment
i
at former domicile, romoval of family to new domicile, purchsse of home, etc.) t
Grandson ~ Joseph Patterson, enteri ng lst Grade .
t
Grandmother, Mrs. Gassaway ha~,,,be~n a resident of St. Lu ie
County since May, 1966.
FtLED AND RECORDED
ST. IUCIE CQUNTY. F'LA.
RECORD VERIFIEO
f - - '61 ~ 6 AM Ip: 2
. 1~3 ~
23~,
iiOG~~R r0lTR~$
CLERK~C~RCUIT COURT
I FURTHER CERTIFY that I will oomply with all other requireme~ts of a le~al resident of this State.
I FURTHER CERTIFY that I have no inteniion to retum to my former domitile, and I intend to remain in FORT
PIERCE, SAINT,,LI•l~lE~}UNTY, FLORIDA, permanently. -
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` .r.•'~': > Francis
"f' ~ Gassaway
- i' .•.si7: ~
: - (Address)
. e~:+~~,~ •
. ~`~'~~~.,u«~,.,~~`' Nlarch 6?
Sworn.hi and subscribed before me this 6 day of . 19 •
Roo~e rom~?s
CL~K IRCUR COURT - Notary Public
gy D.C. My Gommiuion expires
(Te b~ ~oc~ar~d in drp{icah and ori~in~l fil~d wilh Cl~k Ciraiit Courf, and dvpllcal~ with Tax A~wor.)
BooK164 FACE2643~
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