HomeMy WebLinkAbout2884 o~cia~at~on ot oomlctl~ and Cit~e~ship 153394
TO THE STATE AND COUNTY TAX ASSESSOR, ,
51. lUC1E COUNTY, FLORIDA:
This is my deciaration of Domicile and Gitisenship in ths Stat~ of Florid~ ths~t I~~filin~ this day in aooordanat and
~n oonformity with Chapter 222, Settio~ 222.17. Florida StatutK. ~
I wss formerly a legal resident of Memphis Tennessee
(City) (St~»)
a~d I resided at - . Howevsr 1 hav~ chanqsd my domidle
(Street and Numbe~)
to and am and have been a bo~a fide ~esident of the Stats of Flotids sinoe ~Y ~
,june , t9~.~, snd 1 reside at 5520 San Diago Ave
(Street and Number)
FORT ~IERCE, SAINT lUC1E COUNTY, -~LORIDA _
and this atatement is to be take~ as my dacla~ation of citiunship, actual leyel residenos snd domicile in the Stet~ of Florida. ;
F
1
(Insert here any pertinent fads, such a: sale of propery or bu:iness, or relinquishmint of employm~nt
at former domicile, removal of family to new domicile, purchase of home, etc.)
FILEO ANO RECORDED
ST. LUCIE COUNTY. F'~p
Applying for homestead RECORD VERIFIED ~
153394
'6T ~ 9 PM 2 : 10
ROG ~
CIERK CIRCUIT COURT
~
~ f
i
~
k
f
~
~
~ 1 RJRTHER ~ERTIFY that I will oomply with all othsr requiremenfs of a le~al rosident of this Stata.
I FURTHER CERTIFY that I have no intention to retum to my forme~ domiCile, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
. . ,::c;
~•.;+!_i::.C~
~ G~~ (Name)
- ; . . .
• Y Charles N Moore
~ _.~~..p = i
~ , ~ _ : ~ ~ - (Address) i
~ :Y .'t~ ~ {
~
• ~ - f
~ /.~n't~f, artii subauibed before me this Qth day of MarCh , 19 6? . ;
~ . ,
i
ROGER ~ORR/?S
CIRCUIT C Notary Pubiic ~
gy D.C. My Gommission expires ~
Ro b~ ~~l~d M duplicah ~nd ori~inal fil~d wNb Ci~1c qraiM Coeef, and duplkaN wMi~ Tax As~erJ
~ gaoK 164 ~288~.
v - - -
~ ~ ~ z~~~,.~-.. ~ -.,--~t
-
~
~